Provider Demographics
NPI:1225548589
Name:NOAMESHIE, RACHEL ABLAVI (ARNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ABLAVI
Last Name:NOAMESHIE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ABLAVI
Other - Last Name:NOAMESHIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:10183 CARRIAGE HOUSE CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-8009
Mailing Address - Country:US
Mailing Address - Phone:877-856-3774
Mailing Address - Fax:
Practice Address - Street 1:6531 103RD ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-7131
Practice Address - Country:US
Practice Address - Phone:904-772-2727
Practice Address - Fax:904-772-1693
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-01
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9421768363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOD483OtherMEDICARE