Provider Demographics
NPI:1700306446
Name:WILCOX, RACHEL ANN (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:WILCOX
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 SPRING VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-1912
Mailing Address - Country:US
Mailing Address - Phone:814-331-1065
Mailing Address - Fax:
Practice Address - Street 1:2601 FALL HILL AVE
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3323
Practice Address - Country:US
Practice Address - Phone:540-371-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA059091363AM0700X
PAOA004796363AS0400X
VA0110-008061363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical