Individual
DIANA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
117 E CLARK ST, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 351-4859
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
(618) 351-4821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.016082
IL
363L00000X
Nurse Practitioner
Primary
277005089
IL
363LF0000X
Family Nurse Practitioner
041290795
IL
Other
Enumeration date
06/28/2017
Last updated
03/06/2026
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