Individual
FARRAH VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
590 W RIDGE RD STE D, WYTHEVILLE, VA 24382-1067
(276) 228-5506
(276) 228-2040
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024174094
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017143338
AUTHORIZATION TO PRESCRIBE
VA
01
—
0024174094
LICENSED NURSE PRACTITIONER
VA
Enumeration date
10/27/2016
Last updated
03/25/2025
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