Individual
MRS. CHARLENE LUECINDA VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 ALABAMA ST, COLUMBUS, MS 39702-5220
(662) 570-4636
(662) 798-0191
Mailing address
111 ALABAMA ST, COLUMBUS, MS 39702-5220
(662) 570-4636
(662) 798-0191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R778046
MS
Other
Enumeration date
09/18/2012
Last updated
08/02/2024
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