Healthcare Provider Details

I. General information

NPI: 1184544181
Provider Name (Legal Business Name): RACHAEL ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26808 GOODSON RD
ROLAND AR
72135-9308
US

IV. Provider business mailing address

26808 GOODSON RD
ROLAND AR
72135-9308
US

V. Phone/Fax

Practice location:
  • Phone: 501-652-0164
  • Fax:
Mailing address:
  • Phone: 501-652-0164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number222448
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: