Individual
JESSICA SHARANE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1700 LAKE ST, LAKE PROVIDENCE, LA 71254-5208
(318) 559-0551
(318) 559-0538
Mailing address
1317 FLORIDA ST, TALLULAH, LA 71282-5309
(318) 559-0538
(318) 559-0538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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