Individual
MRS. JESSICA VAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13623 97TH TER, SEMINOLE, FL 33776-1420
(717) 586-3991
Mailing address
13623 97TH TER, SEMINOLE, FL 33776-1420
(717) 586-3991
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11011946
FL
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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