SearchMississippi363A00000X

Reagan Vaughn, PA-C

NPI 1922713270 · on the registry since 2023 · sole proprietor

Practice

Address
1860 Chadwick Drive #254
Jackson, MS 39204
Phone
(601) 376-2818

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi