Provider Demographics
NPI:1871068965
Name:RUFF, RACHEL ANNETTE (CNM, CPM, LM)
Entity type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:ANNETTE
Last Name:RUFF
Suffix:
Gender:F
Credentials:CNM, CPM, LM
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANNETTE
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, CPM, LM
Mailing Address - Street 1:1111 OLD RAILROAD BED RD # 23
Mailing Address - Street 2:
Mailing Address - City:TAFT
Mailing Address - State:TN
Mailing Address - Zip Code:38488-9998
Mailing Address - Country:US
Mailing Address - Phone:828-246-1245
Mailing Address - Fax:
Practice Address - Street 1:1111 OLD RAILROAD BED RD # 23
Practice Address - Street 2:
Practice Address - City:TAFT
Practice Address - State:TN
Practice Address - Zip Code:38488-9998
Practice Address - Country:US
Practice Address - Phone:828-246-1245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLM-0019176B00000X
TN27033367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife