Provider Demographics
NPI:1245053826
Name:EVERETT, RACHEL MORGAN (APRN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MORGAN
Last Name:EVERETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:JACKSONPORT
Mailing Address - State:AR
Mailing Address - Zip Code:72075-0175
Mailing Address - Country:US
Mailing Address - Phone:870-759-1450
Mailing Address - Fax:
Practice Address - Street 1:16 HOSPITAL CIR STE A
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7343
Practice Address - Country:US
Practice Address - Phone:870-793-7519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR230757363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner