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NPI Code Detail

MEDICARE: DR. RACHEL JESSICA LAMMERS DNP, FNP-BC

MEDICARE: DR. RACHEL JESSICA LAMMERS DNP, FNP-BC
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
1363LP2300XPrimary Care Nurse Practitioner202008147NPOR
2363LF0000XFamily Nurse Practitioner4704314623MI

General Provider Information

NPI Number : 1316560865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHEL JESSICA LAMMERS DNP, FNP-BC
Provider Business Mailing Address
First Line : 741 NE 6TH ST
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1556
Country : US
Telephone Number : 541-471-2701
Fax Number :
Provider Business Practice Location Address
First Line : 741 NE 6TH ST
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1556
Country : US
Telephone Number : 541-471-3799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2020
Last Update Date : 09/25/2024

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