Individual
MARY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-C
Contact information
Practice address
3600 BLUECUTT RD STE 201, COLUMBUS, MS 39705-1397
(662) 329-3973
(662) 329-9056
Mailing address
3600 BLUECUTT RD STE 103, COLUMBUS, MS 39705-1397
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APN.0996054-NP
CO
363LF0000X
Family Nurse Practitioner
F0614908
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024043303
MS
Other
Enumeration date
08/04/2014
Last updated
08/28/2025
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