Individual
JENNIFER BRYANT VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1809 WADE HAMPTON BLVD STE 120, GREENVILLE, SC 29609-4050
(864) 522-5000
(864) 241-9275
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3567
SC
Other
Enumeration date
07/29/2008
Last updated
02/25/2020
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