Provider Demographics
NPI:1245870989
Name:CHANDLER, RACHAEL (NP)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 RAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BLYTHEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72315-7237
Mailing Address - Country:US
Mailing Address - Phone:870-278-3473
Mailing Address - Fax:
Practice Address - Street 1:PRIORITY HEALTH CLINIC LLC
Practice Address - Street 2:500 PARK ST
Practice Address - City:BLYTHEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72315-2424
Practice Address - Country:US
Practice Address - Phone:870-860-7074
Practice Address - Fax:870-201-4196
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR123644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily