Provider Demographics
NPI:1477595593
Name:MCHENRY, RACHEL MARTIN (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MARTIN
Last Name:MCHENRY
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:M
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:5653 FRIST BLVD
Mailing Address - Street 2:SUITE 236
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2062
Mailing Address - Country:US
Mailing Address - Phone:615-232-8812
Mailing Address - Fax:615-232-8815
Practice Address - Street 1:5653 FRIST BLVD
Practice Address - Street 2:SUITE 236
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2062
Practice Address - Country:US
Practice Address - Phone:615-232-8812
Practice Address - Fax:615-232-8815
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1511799Medicaid
TN1511799Medicaid
TN39081441Medicare PIN