Individual
LOGAN HAILEY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3803 N ELM ST, GREENSBORO, NC 27455-2593
(866) 686-2504
Mailing address
3909 FRAZIER RD, GREENSBORO, NC 27407-5509
(336) 708-8168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5018427
NC
Other
Enumeration date
07/14/2023
Last updated
08/01/2023
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