Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 9262242 | FL |
Y | 363L00000X | Nurse Practitioner | ARNP9262242 | FL |
NPI | 1013206127 |
---|---|
Provider Name | Christina Ellen Vaughn |
First Address | Gainesville, FL 32601-4140 |
Second Address | Ocala, FL 34471 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2011 |
Last Update Date | 23/04/2015 |