Healthcare Provider Details
I. General information
NPI: 1821517921
Provider Name (Legal Business Name): RACHEL MARIE CARTER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/11/2017
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1300 MERRITT DR
HENDERSON KY
42420-2788
US
IV. Provider business mailing address
5017 HIGHWAY 81
OWENSBORO KY
42301-9414
US
V. Phone/Fax
- Phone: 270-827-0064
- Fax: 270-826-3338
- Phone: 270-314-1402
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 3011698 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 3011698 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: