Provider Demographics
NPI:1013774959
Name:JAAP, RAECHEL LOWE (LE, CME)
Entity Type:Individual
Prefix:MRS
First Name:RAECHEL
Middle Name:LOWE
Last Name:JAAP
Suffix:
Gender:F
Credentials:LE, CME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 RIVER POND CT
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-1262
Mailing Address - Country:US
Mailing Address - Phone:917-557-4380
Mailing Address - Fax:
Practice Address - Street 1:1443 MARKET ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32312-1725
Practice Address - Country:US
Practice Address - Phone:917-557-4380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL37-44-2782946246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty