Provider Demographics
NPI:1225377997
Name:HOWELL, RACHEL H (ANP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:H
Last Name:HOWELL
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-6107
Mailing Address - Country:US
Mailing Address - Phone:229-226-8880
Mailing Address - Fax:229-226-6423
Practice Address - Street 1:704 S BROAD ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-6107
Practice Address - Country:US
Practice Address - Phone:229-226-8880
Practice Address - Fax:229-226-6423
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN198780363LA2200X, 363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP01174890OtherRAILROAD MEDICARE
GA003130805AMedicaid
SCNP2241Medicaid
GA202I508166Medicare PIN