JILLIAN VAUGHAN

BOISE, ID
NPI1437758489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  53890)
Additional Taxonomies163WN0800X Registered Nurse, Neuroscience
(Licence: ID  53890)
Enumeration Date2020-10-21
Last Update Date2021-05-04
Business Address
JILLIAN VAUGHAN
301 W MYRTLE ST
BOISE, ID 83702-7656
Phone number: 208-342-8200
Mailing Address
JILLIAN VAUGHAN
6293 N PORTSMOUTH AVE
BOISE, ID 83714-6111
Phone number: 541-961-4735