Individual
BETHNEY LEAH VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
768 S WILLOW AVE STE A, COOKEVILLE, TN 38501-3892
(931) 559-6900
Mailing address
768 S WILLOW AVE STE A, COOKEVILLE, TN 38501-3892
(931) 559-6900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29187
TN
363LF0000X
Family Nurse Practitioner
29187
TN
Other
Enumeration date
05/03/2021
Last updated
02/12/2025
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