Provider Demographics
NPI:1376715136
Name:FORSYTHE, RACHEL L (MSN, ACNP-BC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:FORSYTHE
Suffix:
Gender:F
Credentials:MSN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 E SPRING ST
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-3594
Mailing Address - Country:US
Mailing Address - Phone:931-372-1799
Mailing Address - Fax:931-372-1866
Practice Address - Street 1:545 E SPRING ST
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-3594
Practice Address - Country:US
Practice Address - Phone:931-372-1799
Practice Address - Fax:931-372-1866
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN013357363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care