Healthcare Provider Details

I. General information

NPI: 1083258347
Provider Name (Legal Business Name): RACHEL LAUREN VAN HORN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. RACHEL L. KILPATRICK

II. Dates (important events)

Enumeration Date: 10/30/2019
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 RIVERSTONE VIS STE 102
BLUE RIDGE GA
30513-6630
US

IV. Provider business mailing address

1835 SAVOY DR STE 300
ATLANTA GA
30341-1071
US

V. Phone/Fax

Practice location:
  • Phone: 706-258-4140
  • Fax: 706-258-4141
Mailing address:
  • Phone: 706-258-4140
  • Fax: 706-258-4141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN263626
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5018180
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: