| Doctor Name: | MS. BETTY LEWIS VAUGHANS |
| NPI Number: | 1851701684 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGSTERED NURSE |
| License Number: | R772943 |
| Business Practice Address: | 3101 Bellview Ave Moss Point, MS - 395632307 |
| Business Phone Number: | 2284746633 |
| Business Fax Number: | |
| Mailing Address: | 3107 Bellview Ave, MOSS POINT |
| State: | MS |
| Postal Code: | 395632307 |
| Phone Number: | 2284746633 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2014 |
| NPI Last Update Date: | 05/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 376G00000X |
| License Number: | R772943 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Nursing Home Administrator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |