Provider Demographics
NPI:1285260786
Name:SYLVESTER, RACHEL MCKENNA (DNP)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MCKENNA
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:MCKENNA
Other - Last Name:BLANSETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 NANCY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-8675
Mailing Address - Country:US
Mailing Address - Phone:912-322-7819
Mailing Address - Fax:
Practice Address - Street 1:600 E BELVEDERE AVE STE A
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3713
Practice Address - Country:US
Practice Address - Phone:410-296-0018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-16
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN265267363LF0000X
MDAC004335363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily