Healthcare Provider Details

I. General information

NPI: 1407533524
Provider Name (Legal Business Name): RACHEL RIPPONS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9565 MIDDLEBROOK PIKE
KNOXVILLE TN
37931-4706
US

IV. Provider business mailing address

9565 MIDDLEBROOK PIKE
KNOXVILLE TN
37931-4706
US

V. Phone/Fax

Practice location:
  • Phone: 865-539-0580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number47242
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: