Individual
VALERIE MICHELLE VAUGHN-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,MSN, PMHNP-BC
Contact information
Practice address
3105 ROCKBROOK DR, KILGORE, TX 75662-2251
(903) 812-0684
Mailing address
3105 ROCKBROOK DR, KILGORE, TX 75662-2251
(903) 812-0684
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1016663
TX
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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