Vaughan, Tammy Jo

Vaughan, Tammy Jo is an individual health care provider with primary practice located at 100 Michigan St Ne Mc 035, Grand Rapids MI 49503-2560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Vaughan, Tammy Jo can be contacted via phone (616) 391-1714.

Contact Information

Primary practice address
100 Michigan St Ne Mc 035 Grand Rapids MI 49503-2560
Phone: (616) 391-1714
Fax: (616) 391-1332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704202535 Michigan

Profile Details

NPI number 1578817292
LBN Legal business name Vaughan, Tammy Jo
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2012
Last updated Dec 3rd, 2012 - about 12 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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