Provider Demographics
NPI:1295329274
Name:DONALDSON, KAYLA M (APRN)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:M
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:19100 DR JOHN LAMBERT DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-0922
Mailing Address - Country:US
Mailing Address - Phone:985-247-4567
Mailing Address - Fax:
Practice Address - Street 1:19100 DR JOHN LAMBERT DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-0922
Practice Address - Country:US
Practice Address - Phone:985-247-4567
Practice Address - Fax:985-467-0896
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2024-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA218401363LF0000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily