Individual
MRS. PAIGE RAE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1100 MEDICAL DR, BLYTHEVILLE, AR 72315-1425
(870) 838-7300
Mailing address
1520 N DIVISION ST, BLYTHEVILLE, AR 72315-1448
(870) 838-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1220000284
AR
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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