Provider Demographics
NPI:1316828510
Name:LUMLEY, RACHEAL ANN
Entity type:Individual
Prefix:
First Name:RACHEAL
Middle Name:ANN
Last Name:LUMLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEAL
Other - Middle Name:ANN
Other - Last Name:HAMMOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:153 YORK CMNS
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:TN
Mailing Address - Zip Code:38063-6088
Mailing Address - Country:US
Mailing Address - Phone:731-413-6191
Mailing Address - Fax:
Practice Address - Street 1:153 YORK CMNS
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:TN
Practice Address - Zip Code:38063-6088
Practice Address - Country:US
Practice Address - Phone:731-413-6191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39830363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner