Provider Demographics
NPI:1194539908
Name:DEAN, RACHEL CHRISTIAN (NP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:CHRISTIAN
Last Name:DEAN
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 BRYAN ST W
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:GA
Mailing Address - Zip Code:31533-2330
Mailing Address - Country:US
Mailing Address - Phone:912-309-2319
Mailing Address - Fax:
Practice Address - Street 1:906 BRYAN ST W
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2330
Practice Address - Country:US
Practice Address - Phone:912-309-2319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN286637363LF0000X, 163WP1700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP1700XNursing Service ProvidersRegistered NursePerinatal
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily