Healthcare Provider Details

I. General information

NPI: 1376473397
Provider Name (Legal Business Name): RACHEL RENEE FOSTER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL RENEE ALLEN-JONES LPN

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 W BRISTOL RD
FLINT MI
48507-5518
US

IV. Provider business mailing address

1156 W BRISTOL RD
FLINT MI
48507-5518
US

V. Phone/Fax

Practice location:
  • Phone: 810-238-0483
  • Fax: 810-239-5518
Mailing address:
  • Phone: 810-238-0483
  • Fax: 810-239-5518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number4703125766
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: