Kayla Elise Mock, AGPCNP-C Valid NPI

Individual provider · Nurse Practitioner · Ludowici, GA

NPI

1720516081

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

RN204201 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2017-05-31

Last updated

2017-05-31