Individual
RACHAEL E WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
255 ENTERPRISE BLVD STE 101, GREENVILLE, SC 29615-3530
(864) 454-8120
(864) 454-8125
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22400
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
22400
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22400
SC BOARD OF NURSING LICENSE
SC
Enumeration date
04/17/2019
Last updated
09/17/2024
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