Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kayla Renae Waller, FNP-C

Individual provider Family Nurse Practitioner · NPI 1417535535

Kayla Renae Waller, FNP-C is a Nurse Practitioner in Tallahassee, Florida. Qualified in 2020, 6 years ago. Licensed in Florida and Georgia.

Years since qualifying
6
Licensed in
FL, GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1219 Hodges Dr
Tallahassee, FL 32308-4611
Phone: (229) 413-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11011958 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN248191 (GA)

Record details

NPI number1417535535
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESApril 3, 2021
Certification dateApril 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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