Provider Demographics
NPI:1053890913
Name:HOWELL, RACHEAL M (APRN-BC)
Entity type:Individual
Prefix:MS
First Name:RACHEAL
Middle Name:M
Last Name:HOWELL
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BADENHOP BLVD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37334
Mailing Address - Country:US
Mailing Address - Phone:931-292-3729
Mailing Address - Fax:
Practice Address - Street 1:2150 BROOKMEADE DR STE 130
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4088
Practice Address - Country:US
Practice Address - Phone:931-840-8525
Practice Address - Fax:931-840-8535
Is Sole Proprietor?:No
Enumeration Date:2018-08-11
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1053890913363L00000X
TN24608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner