Provider Demographics
NPI:1366096539
Name:HESTER, RACHEL ELIZABETH (FNP-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:HESTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 KILPATRICK ST STE 204
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-4802
Mailing Address - Country:US
Mailing Address - Phone:336-277-6685
Mailing Address - Fax:336-277-6711
Practice Address - Street 1:4020 KILPATRICK ST STE 204
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-4802
Practice Address - Country:US
Practice Address - Phone:336-277-6685
Practice Address - Fax:336-277-6711
Is Sole Proprietor?:No
Enumeration Date:2019-07-26
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012291363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner