Individual
JENNIFER ROSE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(505) 505-6242
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2306273
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2306273
MA
Other
Enumeration date
05/09/2019
Last updated
06/24/2021
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