Vaughan, Jillian

Vaughan, Jillian is an sole proprietor health care provider with primary practice located at 301 W Myrtle St , Boise ID 83702-7656. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vaughan, Jillian can be contacted via phone (208) 342-8200.

Contact Information

Primary practice address
301 W Myrtle St Boise ID 83702-7656
Phone: (208) 342-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X 53890 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53890 Idaho

Profile Details

NPI number 1437758489
LBN Legal business name Vaughan, Jillian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2020
Last updated May 4th, 2021 - about 3 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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