Doctor Name: | MRS. RACHEL LORRAINE RAULS |
NPI Number: | 1003055617 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | R660906 |
Business Practice Address: | 2525 Telephone Rd Pascagoula, MS - 395673202 |
Business Phone Number: | 2287624483 |
Business Fax Number: | 2287690406 |
Mailing Address: | 2525 Telephone Rd, PASCAGOULA |
State: | MS |
Postal Code: | 395673202 |
Phone Number: | 2287624483 |
Fax Number: | 2287690406 |
NPI Enumeration Date: | 02/05/2009 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R660906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |