Jordan, Jamilyn Vaughn

Jordan, Jamilyn Vaughn is an individual health care provider with primary practice located at 1140 Sw Bascom Norris Dr Ste 104 , Lake City FL 32025-1329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jordan, Jamilyn Vaughn can be contacted via phone (386) 719-6500.

Contact Information

Primary practice address
1140 Sw Bascom Norris Dr Ste 104 Lake City FL 32025-1329
Phone: (386) 719-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11002236 Florida

Profile Details

NPI number 1639736580
LBN Legal business name Jordan, Jamilyn Vaughn
Credentials MSN, ARNP, PNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2019
Last updated May 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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