Individual provider · Type 1 NPI

Rachel E. Lebolo, AGPCNP

Gerontology Nurse Practitioner · Gainesville, GA

NPI number 1801288337 Active

Practice location

200 S Enota Dr NE Ste 100
Gainesville, GA 30501-3466

Fax (770) 534-8025

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XRN207232 (GA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1801288337

Rachel E. Lebolo, AGPCNP's National Provider Identifier is 1801288337, issued on Feb 20, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Gainesville, GA. The record was last updated on Oct 8, 2025.