Individual
MRS. KAYLA HAMILTON HARVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-7008
Mailing address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-7008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17864
TN
363LF0000X
Family Nurse Practitioner
Primary
R885813
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01887731
—
MS
Enumeration date
09/03/2013
Last updated
04/08/2016
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