Individual
KAYLEIGH FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164-5980
(386) 864-4865
Mailing address
17 SEDGEFIELD PATH S, PALM COAST, FL 32164-4422
(386) 864-4865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11015792
FL
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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