Vaughn, Renata Jane
Vaughn, Renata Jane is an sole proprietor health care provider with primary practice located at 1530 N Church St , Jonesboro AR 72401-1515. 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, Renata Jane can be contacted via phone (870) 802-3590.Contact Information
Primary practice address
1530 N Church St
Jonesboro AR 72401-1515
Phone: (870) 802-3590
Fax: (870) 327-7970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A003060 | Arkansas |
Profile Details
| NPI number | 1003084336 |
|---|---|
| LBN Legal business name | Vaughn, Renata Jane |
| Credentials | APN, FNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2008 |
| Last updated | May 20th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003084336 | NPPES |
| Arkansas | MEDICAID | 195346758 |
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