| Doctor Name: | RACHEL JEANNETTE JOHNSON |
| NPI Number: | 1043568058 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | P01429 |
| Business Practice Address: | 905 20th St Ste B Batesville, AR - 725017008 |
| Business Phone Number: | 8705694942 |
| Business Fax Number: | 8705694943 |
| Mailing Address: | Po Box 349, ROSIE |
| State: | AR |
| Postal Code: | 725710349 |
| Phone Number: | 8705694942 |
| Fax Number: | 8705694943 |
| NPI Enumeration Date: | 08/22/2012 |
| NPI Last Update Date: | 08/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | P01429 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |