MR. JESSE FRANKLIN VAUGHN FNP NPI 1609125319

NPI Information

  • NPI: 1609125319
  • Provider Name: MR. JESSE FRANKLIN VAUGHN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 637 EISENHOWER ST
    DAVIS, CA
    ZIP 95616
  • Phone: (916) 213-0367

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NPI Details

MR. Jesse Franklin Vaughn, FNP is a family nurse practitioner in Davis, CA. MR. Jesse Franklin Vaughn, FNP NPI is 1609125319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

637 EISENHOWER ST
DAVIS, CA
ZIP 95616-030
Phone: (916) 213-0367

The NPI 1609125319 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 9/10/2012 and was last updated on 6/27/2013.

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
1363LF0000XNurse PractitionerFamily22010CALIFORNIAYes

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: 3/30/2025

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