Provider Demographics
NPI:1174322929
Name:LEBRUN, RACHAEL LEIGH (APRN-CNM)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:LEIGH
Last Name:LEBRUN
Suffix:
Gender:F
Credentials:APRN-CNM
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:LEIGH
Other - Last Name:STRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 E VINE ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:AR
Mailing Address - Zip Code:72940-2818
Mailing Address - Country:US
Mailing Address - Phone:479-806-7627
Mailing Address - Fax:
Practice Address - Street 1:2600 SAINT MICHAEL DR
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2372
Practice Address - Country:US
Practice Address - Phone:903-614-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1192750367A00000X
AR232201367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife