Individual
JANE A. VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5357
(573) 632-5876
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
096340
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699750091
NPI
MO
Enumeration date
12/08/2005
Last updated
03/26/2024
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