Provider Demographics
NPI:1831735737
Name:PURSER, RACHEL (RN, PMHRN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:PURSER
Suffix:
Gender:F
Credentials:RN, PMHRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5681 HICKS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT OLIVE
Mailing Address - State:AL
Mailing Address - Zip Code:35117-3927
Mailing Address - Country:US
Mailing Address - Phone:205-913-1526
Mailing Address - Fax:
Practice Address - Street 1:1713 6TH AVENUE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35210
Practice Address - Country:US
Practice Address - Phone:205-934-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-153659163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse