Provider Demographics
NPI:1386829224
Name:JARVIS, RACHEL FRANCES (CNP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:FRANCES
Last Name:JARVIS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 PARKWOOD PLACE STE 100
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-1216
Mailing Address - Country:US
Mailing Address - Phone:614-664-6863
Mailing Address - Fax:614-794-4976
Practice Address - Street 1:5900 PARKWOOD PLACE STE 100
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-1216
Practice Address - Country:US
Practice Address - Phone:614-664-6863
Practice Address - Fax:614-794-4976
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.09820363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0064588Medicaid
OH0064588Medicaid