| Doctor Name: | DONALD D VAUGHN |
| NPI Number: | 1194796987 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DC, NP-C |
| License Number: | 15880 |
| Business Practice Address: | 205 Hospital Dr Ste A Mc Kenzie, TN - 382011649 |
| Business Phone Number: | 7313527907 |
| Business Fax Number: | 7313524459 |
| Mailing Address: | 205 Hospital Dr, Ste A MC KENZIE |
| State: | TN |
| Postal Code: | 382011649 |
| Phone Number: | 7313527907 |
| Fax Number: | 7313524459 |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 04/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 15880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |