Whalio Doctors

NPI 1003802562

Jennifer M Vaughn, PA

Practitioner Medical Physician Assistant Omaha, NE

Practice location

Address
601 N 30th St, Omaha, NE 68131-2137
Phone
(402) 449-4590
Mailing address
P.O. Box 3366-0210, Omaha, NE 68176-0001

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 892 (NE)

Registry record

NPI
1003802562
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Sep 2005
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.