Most Relevant Information
Provider Data
| NPI Number: | 1003404732 |
| Provider Name: | KAYLA MARIE COOLEY FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 904346 |
Most Important Dates
| Enumeration Date: | 01/07/2021 |
| Last Updated: | 03/25/2021 |
Provider Practice Location
1710 W 12TH ST
LAUREL
MS
394402559
Practice Location Phone/Fax
| Phone: | 6013692028 |
| Fax: |
Provider Mailing Location
PO BOX 138
CLARA
MS
393240138
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |