Mrs. Renata Jane Vaughn
Nurse Practitioner - Family Medicine
1530 N Church St
Jonesboro
, Arkansas 72401-1515
Mrs. Renata Jane Vaughn
Nurse Practitioner - Family Medicine
1530 N Church St
Jonesboro
, Arkansas 72401-1515
(870) 347-3492
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Renata Jane Vaughn
- Po Box 497
- Augusta, AR
- Zip : 72006-0497
- Fax : (870) 347-3492
- Phone : (870) 347-2534
Second Address
- Mrs. Renata Jane Vaughn
- 1530 N Church St
- Jonesboro, AR
- Zip : 72401-1515
- Fax : (870) 327-7970
- Phone : (870) 802-3590
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | A003060 | AR |
National Provider Identifier
| NPI | 1003084336 |
|---|---|
| Provider Name | Mrs. Renata Jane Vaughn |
| First Address | Augusta, AR 72006-0497 |
| Second Address | Jonesboro, AR 72401-1515 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2008 |
| Last Update Date | 20/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 195346758 | (05) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.