Vaughan, Jordan Taylor

Vaughan, Jordan Taylor is an individual health care provider with primary practice located at 4300 W. 7Th St. Attn: 126/Lr, Little Rock AR 72205-4832. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Vaughan, Jordan Taylor can be contacted via phone (501) 257-1085.

Contact Information

Primary practice address
4300 W. 7Th St. Attn: 126/Lr Little Rock AR 72205-4832
Phone: (501) 257-1085
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 201373 Arkansas

Profile Details

NPI number 1750962700
LBN Legal business name Vaughan, Jordan Taylor
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2021
Last updated Jun 3rd, 2024 - about last year

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 1750962700 NPPES
Arkansas MEDICAID 268518720

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