Individual
RACHAEL NICHOLE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/NP
Contact information
Practice address
1 SAINT VINCENT CIR, SUITE 210, LITTLE ROCK, AR 72205-5405
(501) 552-4777
(501) 552-4482
Mailing address
1 SAINT VINCENT CIR, SUITE 210, LITTLE ROCK, AR 72205-5405
(501) 552-4777
(501) 552-4482
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
A003861
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199226758
—
AR
Enumeration date
05/06/2013
Last updated
01/28/2016
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