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Mrs. Martie Brewer Vaughn, FNP
Family Nurse Practitioner in Philadelphia, Mississippi
NPI 1245312404

Martie Brewer Vaughn is a Family Nurse Practitioner based in Philadelphia, MS and is specialized in Family. Martie Brewer Vaughn practices in Philadelphia, MS and has the professional credentials of FNP. The NPI Number for Martie Brewer Vaughn is 1245312404 and holds a License No. R805579 (Mississippi).

The current practice location address for Martie Brewer Vaughn is 1014 Holland Ave, Philadelphia, MS and can be reached out via phone at 606-656-4371.

Location: 1014 Holland Ave, Philadelphia, MS, 39350-0486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245312404
Provider Name
Martie Brewer Vaughn
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1014 Holland Ave, Philadelphia, MS, 39350-0486
Phone Number
606-656-4371
Fax Number
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00118801 05 MS
institution
Provider Business Practice Location Address Details
Address
1014 Holland Ave
City
Philadelphia
State
Mississippi
Zip
39350-2160
Phone Number
606-656-4371
Fax Number
person
Provider Business Mailing Address Details
Address
1014 Holland Ave
City
Philadelphia
State
Mississippi
Zip
39350-2160
Phone Number
606-656-4371
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R805579 (Mississippi)
Definition
Definition to come...
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