Individual
JESSICA N VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 S COLORADO ST STE A, GREENVILLE, MS 38703-7275
(662) 335-8332
(662) 335-8852
Mailing address
1707 S COLORADO ST STE A, GREENVILLE, MS 38703-7275
(662) 335-8332
(662) 335-8852
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4876
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015486
—
MS
01
—
256579
MEDICARE
MS
01
—
640925683
BLUE CROSS BLUE SHIELD
MS
Enumeration date
05/16/2012
Last updated
05/16/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us