Healthcare Provider Details

I. General information

NPI: 1780467894
Provider Name (Legal Business Name): RACHEL MARTIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S MCCRARY ST STE 1
WOODBURY TN
37190-1499
US

IV. Provider business mailing address

500 PARAGON MILLS RD APT H1
NASHVILLE TN
37211-3735
US

V. Phone/Fax

Practice location:
  • Phone: 615-563-2891
  • Fax:
Mailing address:
  • Phone: 615-938-0488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number33855
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: