Provider Demographics
NPI:1992091995
Name:MITCHELL, RACHEL LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LYNN
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2004 HAYES STREET
Mailing Address - Street 2:SUITE 800
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-514-6963
Mailing Address - Fax:615-986-0560
Practice Address - Street 1:120 FRANK MARTIN RD STE 102
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-7195
Practice Address - Country:US
Practice Address - Phone:931-680-0602
Practice Address - Fax:931-680-0654
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125:060565207R00000X
TN55913207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100510880Medicaid
TNQ029248Medicaid