Individual
JESSICA M VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CNM
Contact information
Practice address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 283-7354
Mailing address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 283-7354
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
148992-32
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841772381
—
WI
Enumeration date
08/31/2018
Last updated
04/06/2021
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