Healthcare Provider Details

I. General information

NPI: 1265357784
Provider Name (Legal Business Name): RACHEL STILL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W DANDRIDGE ST
KENSETT AR
72082-3857
US

IV. Provider business mailing address

701 W DANDRIDGE ST
KENSETT AR
72082-3857
US

V. Phone/Fax

Practice location:
  • Phone: 662-487-5002
  • Fax:
Mailing address:
  • Phone: 501-742-3221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number224095
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: