Healthcare Provider Details

I. General information

NPI: 1215090899
Provider Name (Legal Business Name): RACHEL KINCAID HESSLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL ELIZABETH KINCAID FNP

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1934 ALCOA HWY BLDG D STE 472
KNOXVILLE TN
37920-1524
US

IV. Provider business mailing address

1934 ALCOA HWY BLDG D STE 472
KNOXVILLE TN
37920-1524
US

V. Phone/Fax

Practice location:
  • Phone: 865-544-9171
  • Fax: 865-305-6886
Mailing address:
  • Phone: 865-544-9171
  • Fax: 865-305-6886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number14963
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: