Healthcare Provider Details

I. General information

NPI: 1609738517
Provider Name (Legal Business Name): DAUN LEAHAN RAY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 W MAIN ST
CABOT AR
72023-2745
US

IV. Provider business mailing address

PO BOX 94643
NORTH LITTLE ROCK AR
72190-4643
US

V. Phone/Fax

Practice location:
  • Phone: 501-424-0009
  • Fax:
Mailing address:
  • Phone: 501-909-5919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number235353
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: