Healthcare Provider Details

I. General information

NPI: 1841922937
Provider Name (Legal Business Name): CARLEY DAIGLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 BAPTIST HEALTH DR STE 100
LITTLE ROCK AR
72205-6340
US

IV. Provider business mailing address

9500 BAPTIST HEALTH DR STE 100
LITTLE ROCK AR
72205-6340
US

V. Phone/Fax

Practice location:
  • Phone: 501-224-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number232382
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number917930
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: