NIKKI DANIELL VAUGHN FNP-BC NPI 1366992851

NPI Information

NPI: 1366992851
Provider Name: NIKKI DANIELL VAUGHN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
119 BOONE RIDGE DR
SUITE 201
JOHNSON CITY, TN
ZIP 37615
Phone: (423) 282-1480
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Nikki Daniell Vaughn, FNP-BC is a family nurse practitioner in Johnson City, TN with 9 years of experience. Nikki Daniell Vaughn, FNP-BC NPI is 1366992851. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year:2015

The provider's business location address is:

119 BOONE RIDGE DR
SUITE 201
JOHNSON CITY, TN
ZIP 37615-998
Phone: (423) 282-1480
Fax: (423) 928-1313

The NPI 1366992851 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 11/12/2016.

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	163W00000X	Registered Nurse		RN0000170732	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	APN0000021071	TENNESSEE	Yes

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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