Individual
MRS. RACHEL STEVENSON GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
563 NEFF AVE STE A, HARRISONBURG, VA 22801-3765
(540) 434-1756
(540) 434-1840
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110003895
VA STATE LICENSE
VA
05
—
1174892400
—
VA
Enumeration date
12/15/2011
Last updated
12/15/2021
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