Individual
GRACIE HEARNE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6202 N 9TH AVE, PENSACOLA, FL 32504-8293
(202) 681-9661
Mailing address
10861 BLACKTAIL LOOP, PENSACOLA, FL 32526-4568
(252) 675-0504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11030692
FL
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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