Healthcare Provider Details

I. General information

NPI: 1184556284
Provider Name (Legal Business Name): RACHEL K GIBBONS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3214 E RACE AVE
SEARCY AR
72143-4810
US

IV. Provider business mailing address

4575 EDINBURGH ST
JONESBORO AR
72405-8186
US

V. Phone/Fax

Practice location:
  • Phone: 501-268-6121
  • Fax:
Mailing address:
  • Phone: 870-340-5082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number159456
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: