NPI
Jerry Vaughn
NPI 1497335731
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- pharm d
- Type
- Individual
- Enumeration date
- 2021-04-12
- Last updated
- 2021-04-12
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Specialties
Licenses
- License MS
- e-010738
Location
- Practice location
- 7122 Will Robbins Hwy
- City
- Nettleton MS
- Postal code
- 38858-5918
- Phone
- (662) 591-5234
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Nettleton, MS. 44 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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