Provider Demographics
NPI:1467415422
Name:HENDERSON, RACHEL DENISE (APN, FNP-BC, DNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:DENISE
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:APN, FNP-BC, DNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:DENISE
Other - Last Name:BILLINGSLEY HENDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9073
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-6923
Mailing Address - Country:US
Mailing Address - Phone:615-566-9992
Mailing Address - Fax:615-622-8768
Practice Address - Street 1:4515 HARDING PIKE STE 326
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2118
Practice Address - Country:US
Practice Address - Phone:615-422-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006909363LF0000X
TNAPN6909363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00292476OtherMEDICARE RAILROAD PIN
TN3343379Medicaid
TNP00292476OtherMEDICARE RAILROAD PIN
TN3343379Medicare ID - Type UnspecifiedMEDICARE PROVIDER #