Individual
RACHEL TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 CONSTITUTION AVE, MERIDIAN, MS 39301-4001
(601) 282-8980
(601) 693-6561
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 872-5864
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901951
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED
—
MS
Enumeration date
01/31/2017
Last updated
04/04/2017
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