MEDICARE: MS. REBECCA J FOWLKES APRN, PMHNP-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
1	363LF0000X	Family Nurse Practitioner	RN210612	GA
2	363LF0000X	Family Nurse Practitioner	APN0000014419	TN
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	C-APN.0002897-C-NP	CO
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4026747	KY
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	14419	TN
6	163WG0000X	General Practice Registered Nurse	RN210612	GA
7	2084P0800X	Psychiatry Physician	145984	OH
8	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	113537-23	NH
9	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024191575	VA
10	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	TPAN3478	FL
11	163W00000X	Registered Nurse	RN0000145984	TN
12	2084P0800X	Psychiatry Physician	14038	CT
13	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	C-RXN.0001393-C-NP	CO
14	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61599624	WA

General Provider Information

NPI Number	:	1427290071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA J FOWLKES APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	6827 CHISWICK DR
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-2562
Country	:	US
Telephone Number	:	865-607-7357
Fax Number	:

Provider Business Practice Location Address
First Line	:	5214F DIAMOND HEIGHTS BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-2175
Country	:	US
Telephone Number	:	865-607-7357
Fax Number	:

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

Provider Enumeration Date	:	03/28/2009
Last Update Date	:	12/09/2025

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