Individual
RACHEL A MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, FNP
Contact information
Practice address
229 HEDRICK DR, NEWPORT, TN 37821-2902
(423) 623-1057
(423) 625-8620
Mailing address
PO BOX 577, NEWPORT, TN 37822-0577
(423) 613-3320
(423) 623-4088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN140110
TN
363L00000X
Nurse Practitioner
Primary
APN8426
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100043256
PHP TENNCARE
TN
05
—
3349050
—
TN
01
—
4066860
BCBST
TN
01
—
4066861
BLUECARE-PARROTTSVILLE
TN
01
—
4066862
BCBST
TN
01
—
4066865
BCBST
TN
01
—
4066866
BCBST
TN
Enumeration date
01/30/2006
Last updated
06/13/2016
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