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NPI Code Detail

MEDICARE: RACHEL K GIBBONS

MEDICARE: RACHEL K GIBBONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist159456AR

General Provider Information

NPI Number : 1184556284
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL K GIBBONS
Provider Business Mailing Address
First Line : 4575 EDINBURGH ST
Second Line :
City : JONESBORO
State : AR
Zip : 72405-8186
Country : US
Telephone Number : 870-340-5082
Fax Number :
Provider Business Practice Location Address
First Line : 3214 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4810
Country : US
Telephone Number : 501-268-6121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ RACHEL K GIBBONS ” Practice Location

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