Vaughan, Iva Nell

Vaughan, Iva Nell is an individual health care provider with primary practice located at 22A Doctors Dr , Ocean Springs MS 39564-5721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Vaughan, Iva Nell can be contacted via phone (228) 872-1951.

Contact Information

Primary practice address
22A Doctors Dr Ocean Springs MS 39564-5721
Phone: (228) 872-1951
Fax: (228) 875-9998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R753601 Mississippi

Profile Details

NPI number 1881801132
LBN Legal business name Vaughan, Iva Nell
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jun 27th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881801132 NPPES
Mississippi Other C00047 MEDICARE GROUP #
Mississippi MEDICAID 05078304 MEDICARE GROUP #
Mississippi Other 09014182 MEDICARE GROUP #
Mississippi Other 646000515 MEDICARE GROUP #
Mississippi Other 646000515 MEDICARE GROUP #
Mississippi Other 500028696 MEDICARE GROUP #

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