Provider Demographics
NPI:1114898541
Name:DEERE, RACHAEL (APRN)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:DEERE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 FIREFLY TRL
Mailing Address - Street 2:
Mailing Address - City:HAUGHTON
Mailing Address - State:LA
Mailing Address - Zip Code:71037-7710
Mailing Address - Country:US
Mailing Address - Phone:318-317-9999
Mailing Address - Fax:
Practice Address - Street 1:5015 SHED RD STE 400
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5585
Practice Address - Country:US
Practice Address - Phone:318-655-8525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA129791363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily