MEDICARE: RACHEL KINCAID HESSLER FNP

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
1	363L00000X	Nurse Practitioner	14963	TN

General Provider Information

NPI Number	:	1215090899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL KINCAID HESSLER FNP

Provider Business Mailing Address
First Line	:	1934 ALCOA HWY BLDG D
Second Line	:	STE 472
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1524
Country	:	US
Telephone Number	:	865-544-9171
Fax Number	:	865-305-6886

Provider Business Practice Location Address
First Line	:	1934 ALCOA HWY BLDG D
Second Line	:	STE 472
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1524
Country	:	US
Telephone Number	:	865-544-9171
Fax Number	:	865-305-6886

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	09/19/2014

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