Doctor Name: | MRS. RACHEL KATHERINE TRIMM-SCARBROUGH |
NPI Number: | 1215176706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R870701 |
Business Practice Address: | 580 Friars Point Rd Clarksdale, MS - 386149734 |
Business Phone Number: | 6626244316 |
Business Fax Number: | 6626211151 |
Mailing Address: | 785 Ohio Ave, Suite 3g CLARKSDALE |
State: | MS |
Postal Code: | 386146217 |
Phone Number: | 6626248000 |
Fax Number: | 6626272900 |
NPI Enumeration Date: | 02/06/2009 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R870701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |