Provider Demographics
NPI:1326303215
Name:MACKESSY-LLOYD, RACHEL CLEMMER (PMHNP-BC, CRNP-BC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:CLEMMER
Last Name:MACKESSY-LLOYD
Suffix:
Gender:F
Credentials:PMHNP-BC, CRNP-BC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:SLOANE
Other - Last Name:CLEMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8700 GEORGIA AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3618
Mailing Address - Country:US
Mailing Address - Phone:301-585-6049
Mailing Address - Fax:
Practice Address - Street 1:130 WHITMOOR TER
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1519
Practice Address - Country:US
Practice Address - Phone:240-630-3311
Practice Address - Fax:240-630-3095
Is Sole Proprietor?:No
Enumeration Date:2012-07-07
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR200928363LA2200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health