Healthcare Provider Details

I. General information

NPI: 1407077936
Provider Name (Legal Business Name): REBEKAH A. ENGLISH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 WEST CHURCH STREET
GREENEVILLE TN
37744
US

IV. Provider business mailing address

PO BOX 159
GREENEVILLE TN
37744
US

V. Phone/Fax

Practice location:
  • Phone: 423-798-1749
  • Fax: 423-798-1755
Mailing address:
  • Phone: 423-798-1749
  • Fax: 423-798-1755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN0000100397
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: