Individual
SHERRY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2630 HIGHWAY K STE 100, O FALLON, MO 63368-6624
(636) 240-5454
(636) 980-5335
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
2017026685
MO
363L00000X
Nurse Practitioner
Primary
2024006643
MO
Other
Enumeration date
12/26/2023
Last updated
09/19/2025
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