Provider Demographics
NPI:1306329818
Name:FOSTER, KAYLA MARIE (DNP)
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:MARIE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:M
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KAYLA WARD, FNP-BC
Mailing Address - Street 1:2717 EAST OAKLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1843
Mailing Address - Country:US
Mailing Address - Phone:423-926-2358
Mailing Address - Fax:423-926-2680
Practice Address - Street 1:815 S WALNUT AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501
Practice Address - Country:US
Practice Address - Phone:931-528-5516
Practice Address - Fax:423-437-8162
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24698363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily