person
Diane B Vaughn, GNP
Gerontology Nurse Practitioner in Gulfport, Mississippi
NPI 1194925537

Diane B Vaughn is a Gerontology Nurse Practitioner based in Biloxi, MS and is specialized in Gerontology. Diane B Vaughn practices in Gulfport, MS and has the professional credentials of GNP. The NPI Number for Diane B Vaughn is 1194925537 and holds a License No. R621641 (Mississippi).

The current practice location address for Diane B Vaughn is 1340 Broad Ave, Gulfport, MS and can be reached out via phone at 228-865-3202 and via fax at 228-865-3249. You can also correspond with Diane B Vaughn through the mailing address at PO BOX 555, BILOXI, MS - 39533-0555 (mailing address contact number: 228-865-3202).

Location: 1340 Broad Ave, Gulfport, MS, 39533-0555
person
Provider Profile Details
NPI Number
1194925537
Provider Name
Diane B Vaughn
Credential
GNP
Provider Entity Type
Individual
Gender
Female
Address
1340 Broad Ave, Gulfport, MS, 39533-0555
Phone Number
228-865-3202
Fax Number
228-865-3249
Provider Enumeration Date
07/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01128596 05 MS
institution
Provider Business Practice Location Address Details
Address
1340 Broad Ave
City
State
Zip
39501-2404
Phone Number
228-865-3202
Fax Number
228-865-3249
person
Provider Business Mailing Address Details
Address
Po Box 555
City
State
Zip
39533-0555
Phone Number
228-865-3202
Fax Number
228-865-3249
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R621641 (Mississippi)
Definition
Definition to come...
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