=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376466706
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL WHITNEY DAVIS
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2026
-----------------------------------------------------
Last Update Date | 08/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 644 VETERANS PARKWAY N
-----------------------------------------------------
City | MOULTRIE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31788
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 229-668-4501
-----------------------------------------------------
Fax | 229-515-4244
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 644 N VETERANS PARKWAY
-----------------------------------------------------
City | MOULTRIE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31788
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 229-668-4501
-----------------------------------------------------
Fax | 229-515-4244
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN-NP327295
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------