Individual
JORDAN TAYLOR VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4300 W. 7TH ST., ATTN: 126/LR, LITTLE ROCK, AR 72205-4832
(501) 257-1085
Mailing address
4300 W. 7TH ST., ATTN: 126/LR, LITTLE ROCK, AR 72205-4832
(501) 257-1085
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
201373
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268518720
—
AR
Enumeration date
04/20/2021
Last updated
06/03/2024
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