| Doctor Name: | MR. RONALD GLENN VAUGHN |
| NPI Number: | 1083882310 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APN, FNP |
| License Number: | A03061 |
| Business Practice Address: | 400 Highway 49 N Ste 2 Paragould, AR - 724504026 |
| Business Phone Number: | 8702362609 |
| Business Fax Number: | |
| Mailing Address: | 400 Highway 49 N Ste 2, PARAGOULD |
| State: | AR |
| Postal Code: | 724504026 |
| Phone Number: | 8702362609 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2008 |
| NPI Last Update Date: | 02/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A03061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |