Individual
RACHEL LYN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-7728
(417) 269-7729
Mailing address
PO BOX 4024, SPRINGFIELD, MO 65808-4024
(417) 882-1207
(417) 881-7268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2007001661
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219383
DEBARTMENT OF LABOR WA
WA
01
—
0600288
UNITED HEALTH CARE
MO
01
—
1076297
NCCPA BOARD CERTIFICATION
—
01
—
217261
BLUE CROSS/BLUE SHIELD
MO
01
—
2565515
COX HEALTH
MO
01
—
431560263
TRICARE WEST
MO
05
—
502277007
—
MO
01
—
P00823594
RAILROAD MEDICARE-SJC
—
01
—
Q75949
USPS (W/C)
MO
Enumeration date
01/10/2007
Last updated
03/08/2023
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