RACHAEL NICHOLE DAUGHERTY APN/NP NPI 1003251919

NPI Information

NPI: 1003251919
Provider Name: RACHAEL NICHOLE DAUGHERTY, APN/NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
1 SAINT VINCENT CIR
SUITE 210
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 552-4777
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Rachael Nichole Daugherty, APN/NP is a gerontology nurse practitioner in Little Rock, AR. Rachael Nichole Daugherty, APN/NP NPI is 1003251919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 SAINT VINCENT CIR
SUITE 210
LITTLE ROCK, AR
ZIP 72205-405
Phone: (501) 552-4777
Fax: (501) 552-4482

The enumeration date for this NPI number is 5/6/2013 and was last updated on 1/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	A003861	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	199226758	MEDICAID	ARKANSAS
2	293943	MEDICARE PIN	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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