Provider Demographics
NPI:1598596694
Name:MARSHALL, KAYLA KIMBERLY (APRN)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:KIMBERLY
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:4881 NW 8TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4582
Mailing Address - Country:US
Mailing Address - Phone:352-416-1082
Mailing Address - Fax:352-373-6144
Practice Address - Street 1:4343 W NEWBERRY RD
Practice Address - Street 2:SUITE 11
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2825
Practice Address - Country:US
Practice Address - Phone:352-372-8202
Practice Address - Fax:352-372-4756
Is Sole Proprietor?:No
Enumeration Date:2024-08-10
Last Update Date:2025-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL11033078363L00000X
FLAPRN11033078363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL126322800Medicaid