Healthcare Provider Details
I. General information
NPI: 1366320616
Provider Name (Legal Business Name): RASHA BABBITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
824 MILITARY RD
BENTON AR
72015-3347
US
IV. Provider business mailing address
30 BURTON HILLS BLVD STE 175
NASHVILLE TN
37215-6403
US
V. Phone/Fax
- Phone: 501-574-3019
- Fax:
- Phone: 615-988-2000
- Fax: 615-250-9773
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 234434 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: