Tammy Jo Vaughan, NNP - Nurse Practitioner in Grand Rapids, MI

Tammy Jo Vaughan, NNP is a Nurse Practitioner - Neonatal based in Grand Rapids, Michigan. Tammy Jo Vaughan is licensed to practice in Michigan (license number 4704202535) and her current practice location is 100 Michigan St Ne, Mc 035, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 391-1714.

NPI number for Tammy Jo Vaughan is 1578817292 and her current mailing address is 100 Michigan St Ne, Mc 845, Grand Rapids, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578817292.

Contact Information

Tammy Jo Vaughan, NNP
100 Michigan St Ne, Mc 035,
Grand Rapids, MI 49503-2560
(616) 391-1714
(616) 391-1332

Map and Direction




Provider's Profile

Full NameTammy Jo Vaughan
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578817292
  • Provider Enumeration Date: 11/02/2012
  • Last Update Date: 12/03/2012

Medical Identifiers

Medical identifiers for Tammy Jo Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578817292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 4704202535 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tammy Jo Vaughan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tammy Jo Vaughan, NNP
100 Michigan St Ne, Mc 845,
Grand Rapids, MI 49503-2560

Ph: (616) 391-1714
Tammy Jo Vaughan, NNP
100 Michigan St Ne, Mc 035,
Grand Rapids, MI 49503-2560

Ph: (616) 391-1714

Reviews and Comments


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