Provider Demographics
NPI:1053713057
Name:SMITH, KAILA (RN, FNP-C)
Entity type:Individual
Prefix:
First Name:KAILA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1046
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78957-7046
Mailing Address - Country:US
Mailing Address - Phone:512-468-9641
Mailing Address - Fax:
Practice Address - Street 1:1509 DOROTHY NICHOLS LN UNIT B
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TX
Practice Address - Zip Code:78957-1741
Practice Address - Country:US
Practice Address - Phone:833-588-6967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-22
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126478363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP126478OtherTEXAS BOARD OF NURSING