Individual
JEANNE GRIFFIN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT STREET, YAW7B, BOSTON, MA 02114-2696
(617) 724-4000
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
217182
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324540
—
MA
01
—
NP4441
BCBS
MA
Enumeration date
12/26/2006
Last updated
02/22/2011
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