Individual
TERESA G VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
135 FAITH WAY, JUPITER, FL 33458-3919
(561) 308-0259
(561) 641-6552
Mailing address
135 FAITH WAY, JUPITER, FL 33458-3919
(561) 308-0259
(561) 641-6552
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN2678332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000999300
—
FL
01
—
TERESA98
TERESA V DAVIS
FL
Enumeration date
10/06/2008
Last updated
06/16/2010
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