Individual
DR. JENNIFER WHATLEY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
703 CLINTON PKWY, CLINTON, MS 39056-5245
(601) 708-4205
(601) 708-4707
Mailing address
7520 WESTBANK EXPY, SUITE D, MARRERO, LA 70072-2354
(504) 371-4226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09060
LA
Other
Enumeration date
06/05/2015
Last updated
11/06/2019
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