Provider Demographics
NPI:1518385913
Name:RAWLS, JOSEPH NEAL (ARNP)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:NEAL
Last Name:RAWLS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3017 INGRESS RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-3013
Mailing Address - Country:US
Mailing Address - Phone:850-445-4786
Mailing Address - Fax:
Practice Address - Street 1:3017 INGRESS RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3013
Practice Address - Country:US
Practice Address - Phone:850-445-4786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3281672363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily