Individual
MS. JENNIFER D VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
189 BROOKLAWN ST, KNOXVILLE, TN 37934-2875
(865) 392-9136
Mailing address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 769-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18146
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6005678
BLUECROSS BLUESHIELD
TN
01
—
P01296436
RAILROAD MEDICARE
TN
05
—
Q003951
—
TN
Enumeration date
11/20/2013
Last updated
12/26/2023
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