Healthcare Provider Details

I. General information

NPI: 1912373846
Provider Name (Legal Business Name): RACHEL ELIZABETH HARVEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2015
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 WATSON BLVD
WARNER ROBINS GA
31093-3449
US

IV. Provider business mailing address

4300 N POINT PKWY STE 300
ALPHARETTA GA
30022-4102
US

V. Phone/Fax

Practice location:
  • Phone: 478-918-0770
  • Fax:
Mailing address:
  • Phone: 770-442-1911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN222560
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: