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Individual

MRS. JOANN WOLFE VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
103 NORTH STREET, RIDGEVIEW PAVILION, BRISTOL, VA 24201
(423) 844-6000
(423) 844-6002
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024040254LNP
VA
363L00000X
Nurse Practitioner
APN5087
TN
363L00000X
Nurse Practitioner
Primary
RN0001040254
VA

Other

Enumeration date
03/01/2007
Last updated
06/02/2010
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