Jillian Marie Vaughn
Technician, Other in Harrisburg, IL. Individual provider (NPI-1).
NPI number1255043667
StatusActive
Last updated in NPPESDec 16, 2022
Details
- NPI
- 1255043667
- Entity type
- Individual (NPI-1)
- Name
- Jillian Marie Vaughn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2022
- Certification date
- Dec 16, 2022
- Last updated
- Dec 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 247000000X | Technician, Health Information | – | – |
Practice location
608 Rollie Moore DrHarrisburg, IL 62946-2351
Phone 618-252-6150
Mailing address
608 Rollie Moore DrHarrisburg, IL 62946-2351
Phone 618-252-6150
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