Most Relevant Information
Provider Data
| NPI Number: | 1003802562 |
| Provider Name: | JENNIFER M VAUGHN PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 892 |
Most Important Dates
| Enumeration Date: | 09/21/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
601 N 30TH ST
OMAHA
NE
681312137
Practice Location Phone/Fax
| Phone: | 4024494590 |
| Fax: |
Provider Mailing Location
P.O. BOX 3366-0210
OMAHA
NE
681760001
Provider Mailing Phone/Fax
| Phone: | 8663218433 |
| Fax: |