Provider Demographics
NPI:1205448719
Name:WRIGHT, KAYLA NICOLE (FNP)
Entity type:Individual
Prefix:MISS
First Name:KAYLA
Middle Name:NICOLE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 VILLAGE WALK
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-5504
Mailing Address - Country:US
Mailing Address - Phone:770-800-6780
Mailing Address - Fax:
Practice Address - Street 1:105 VILLAGE WALK
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-5504
Practice Address - Country:US
Practice Address - Phone:770-800-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAANP000078363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-152180OtherALABAMA STATE LICENSE