Healthcare Provider Details

I. General information

NPI: 1770246712
Provider Name (Legal Business Name): RACHEL LOWMAN GOOSSENS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2021
Last Update Date: 02/27/2023
Certification Date: 05/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E MEETING ST
MORGANTON NC
28655-3593
US

IV. Provider business mailing address

PO BOX 1490
BOONE NC
28607-1490
US

V. Phone/Fax

Practice location:
  • Phone: 828-608-0800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5015614
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: