Provider Demographics
NPI:1962807263
Name:DEFFENDALL, RACHEL JONES (FNP-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:JONES
Last Name:DEFFENDALL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 42ND AVE N STE 400
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3658
Mailing Address - Country:US
Mailing Address - Phone:615-329-7887
Mailing Address - Fax:
Practice Address - Street 1:660 S MOUNT JULIET RD STE 211
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3973
Practice Address - Country:US
Practice Address - Phone:615-932-8346
Practice Address - Fax:615-269-3448
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19189363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily