Provider Demographics
NPI:1255942371
Name:GEORGE, RACHEL CAROLE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CAROLE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 ROWE DR
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-7367
Mailing Address - Country:US
Mailing Address - Phone:256-571-8460
Mailing Address - Fax:256-571-8464
Practice Address - Street 1:38 ROWE DR
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-7367
Practice Address - Country:US
Practice Address - Phone:256-571-8460
Practice Address - Fax:256-571-8464
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-139448363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily