Provider Demographics
NPI:1982287736
Name:HOWARD, KAYLA DANIELLE (FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:DANIELLE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:DANIELLE
Other - Last Name:POTTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:KAYLA HOWARD, FNP-C
Mailing Address - Street 1:131 MILL RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31793-5568
Mailing Address - Country:US
Mailing Address - Phone:229-326-2212
Mailing Address - Fax:
Practice Address - Street 1:196 VIRGINIA AVE S # 1108
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-8073
Practice Address - Country:US
Practice Address - Phone:229-326-2212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPRN-NP212066363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily