Provider Demographics
NPI:1093947442
Name:TOLLIVER, RACHEL (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:TOLLIVER
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9476
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-0476
Mailing Address - Country:US
Mailing Address - Phone:423-521-0260
Mailing Address - Fax:
Practice Address - Street 1:615 MCCALLIE AVE DEPT 1801
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2598
Practice Address - Country:US
Practice Address - Phone:423-425-4438
Practice Address - Fax:423-425-5527
Is Sole Proprietor?:No
Enumeration Date:2009-08-19
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000134045163WP0808X
TN26482363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health