DIANE B VAUGHN GNP NPI 1194925537

NPI Information

NPI: 1194925537
Provider Name: DIANE B VAUGHN, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
1340 BROAD AVE
SUITE 450
GULFPORT, MS
ZIP 39501
Phone: (228) 865-3202
Get Directions

Diane B Vaughn, GNP is a gerontology nurse practitioner in Gulfport, MS. Diane B Vaughn, GNP NPI is 1194925537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1340 BROAD AVE
SUITE 450
GULFPORT, MS
ZIP 39501-404
Phone: (228) 865-3202
Fax: (228) 865-3249

The enumeration date for this NPI number is 7/24/2007 and was last updated on 8/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	R621641	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	OTHER	MISSISSIPPI	BCBS
2	500006001	MEDICARE PIN	MISSISSIPPI
3	01128596	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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