Vaughn, Sandra

Vaughn, Sandra is an individual health care provider with primary practice located at 1928 Alcoa Hwy Ste 209 , Knoxville TN 37920-1504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Vaughn, Sandra can be contacted via phone (865) 524-2547.

Contact Information

Primary practice address
1928 Alcoa Hwy Ste 209 Knoxville TN 37920-1504
Phone: (865) 524-2547
Fax: (865) 524-0224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X APN12432 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN12432 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN083514 Georgia

Profile Details

NPI number 1073693206
LBN Legal business name Vaughn, Sandra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 7th, 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 1073693206 NPPES
Tennessee MEDICAID 1513689

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