| Doctor Name: | RACHAEL NICHOLE DAUGHERTY |
| NPI Number: | 1003251919 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN/NP |
| License Number: | A003861 |
| Business Practice Address: | 1 Saint Vincent Cir Suite 210 Little Rock, AR - 722055405 |
| Business Phone Number: | 5015524777 |
| Business Fax Number: | 5015524482 |
| Mailing Address: | 1 Saint Vincent Cir, Suite 210 LITTLE ROCK |
| State: | AR |
| Postal Code: | 722055405 |
| Phone Number: | 5015524777 |
| Fax Number: | 5015524482 |
| NPI Enumeration Date: | 05/06/2013 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | A003861 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |