Individual
KAYLA MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1502 W 3RD ST, JACKSON, GA 30233-1979
(678) 774-0430
(770) 775-3410
Mailing address
1502 W 3RD ST, JACKSON, GA 30233-1979
(678) 774-0430
(770) 775-3410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN209446
GA
363LF0000X
Family Nurse Practitioner
Primary
RN209446
GA
Other
Enumeration date
10/06/2014
Last updated
11/18/2014
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