| Doctor Name: | JENNIFER M VAUGHN |
| NPI Number: | 1003802562 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 892 |
| Business Practice Address: | 601 N 30th St Omaha, NE - 681312137 |
| Business Phone Number: | 4024494590 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 3366-0210, OMAHA |
| State: | NE |
| Postal Code: | 681760001 |
| Phone Number: | 8663218433 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 892 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |