Healthcare Provider Details

I. General information

NPI: 1164584223
Provider Name (Legal Business Name): RACHEL WARREN RISH CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 01/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 WALKER ST ACCESS FAMILY HEALTH SERVICES, INC.
HOULKA MS
38850-9453
US

IV. Provider business mailing address

106 WALKER ST ACCESS FAMILY HEALTH SERVICES, INC.
HOULKA MS
38850-9453
US

V. Phone/Fax

Practice location:
  • Phone: 662-568-3316
  • Fax: 662-568-3360
Mailing address:
  • Phone: 662-568-3316
  • Fax: 662-568-3360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR692158
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: