Healthcare Provider Details

I. General information

NPI: 1235941766
Provider Name (Legal Business Name): DANIELLE N FRACHISEUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 UNITY RD E
NASHVILLE AR
71852-8046
US

IV. Provider business mailing address

217 UNITY RD E
NASHVILLE AR
71852-8046
US

V. Phone/Fax

Practice location:
  • Phone: 903-748-6108
  • Fax:
Mailing address:
  • Phone: 903-748-6108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number231823
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR10418
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: