Provider Demographics
NPI:1629808811
Name:SPRINGER, KAYLEIGH (AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KAYLEIGH
Middle Name:
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PINE CONE TRL
Mailing Address - Street 2:
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110-9139
Mailing Address - Country:US
Mailing Address - Phone:501-733-2746
Mailing Address - Fax:
Practice Address - Street 1:650 UNITED DR STE 200
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-7001
Practice Address - Country:US
Practice Address - Phone:501-852-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-03
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR228893363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care