Doctor Name: | MS. JOYCE CHAPPELL VAUGHN |
NPI Number: | 1053681213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APMHNP |
License Number: | R144380 |
Business Practice Address: | 3531 Lakeland Dr Suite 1058 Flowood, MS - 392328049 |
Business Phone Number: | 6014205810 |
Business Fax Number: | 6014205811 |
Mailing Address: | 220 Highway 12 W, P.o. Box 887 KOSCIUSKO |
State: | MS |
Postal Code: | 390903208 |
Phone Number: | 6622903134 |
Fax Number: | 6622903337 |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 02/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | R144380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |