Rachael Nichole Daugherty
Nurse Practitioner - Gerontology
1 Saint Vincent Cir Suite 210
Little Rock
, Arkansas 72205-5405
Rachael Nichole Daugherty
Nurse Practitioner - Gerontology
1 Saint Vincent Cir Suite 210
Little Rock
, Arkansas 72205-5405
(501) 552-4482
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Rachael Nichole Daugherty
- 1 Saint Vincent Cir Suite 210
- Little Rock, AR
- Zip : 72205-5405
- Fax : (501) 552-4482
- Phone : (501) 552-4777
Second Address
- Rachael Nichole Daugherty
- 1 Saint Vincent Cir Suite 210
- Little Rock, AR
- Zip : 72205-5405
- Fax : (501) 552-4482
- Phone : (501) 552-4777
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Is Rachael Nichole Daugherty a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | A003861 | AR |
National Provider Identifier
| NPI | 1003251919 |
|---|---|
| Provider Name | Rachael Nichole Daugherty |
| First Address | Little Rock, AR 72205-5405 |
| Second Address | Little Rock, AR 72205-5405 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2013 |
| Last Update Date | 28/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 199226758 | (05) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.