Provider Demographics
NPI:1568692408
Name:GRIFFIN, RACHEL JOANNA (NP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:JOANNA
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:64 FORT GREENE PL APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-1274
Mailing Address - Country:US
Mailing Address - Phone:646-389-3680
Mailing Address - Fax:929-335-7277
Practice Address - Street 1:64 FORT GREENE PL APT 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1274
Practice Address - Country:US
Practice Address - Phone:646-389-3680
Practice Address - Fax:929-335-7277
Is Sole Proprietor?:No
Enumeration Date:2009-07-24
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0991029-NP363LP0808X
NYF401109363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health