JONATHAN W VAUGHN

JACKSON, MS
NPI1790918712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  r872243)
Enumeration Date2009-08-25
Last Update Date2015-12-29
Business Address
Mr. JONATHAN W VAUGHN CRNA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6441
Mailing Address
Mr. JONATHAN W VAUGHN CRNA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6441