Healthcare Provider Details

I. General information

NPI: 1114165065
Provider Name (Legal Business Name): RACHELLE ELAINE WEBB FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2009
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 SAINT CHRISTOPHER DR STE 1
ASHLAND KY
41101-7055
US

IV. Provider business mailing address

1735 27TH ST STE B06
PORTSMOUTH OH
45662-2681
US

V. Phone/Fax

Practice location:
  • Phone: 606-833-6397
  • Fax: 606-833-6398
Mailing address:
  • Phone: 740-356-8681
  • Fax: 740-356-1256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4002263
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0032332
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number422850
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: