Vaughn, Jodie

Vaughn, Jodie is an individual health care provider with primary practice located at 1120 N Melvin St , Gibson City IL 60936-1477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vaughn, Jodie can be contacted via phone (217) 784-2258.

Contact Information

Primary practice address
1120 N Melvin St Gibson City IL 60936-1477
Phone: (217) 784-2258
Fax: (217) 874-2321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209015012 Illinois

Profile Details

NPI number 1073065140
LBN Legal business name Vaughn, Jodie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2016
Last updated Aug 11th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073065140 NPPES
Illinois Other OTH000 UPIN

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