Miss Nicole Leanne Vaughn, CCC-SLP is a
Speech-language Pathologist based in Russellville, Tennessee. Miss Nicole Leanne Vaughn is licensed to practice in Tennessee (license number 4850) and her current practice location is
1440 Lonesome Oak Ln, Russellville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 736-9923.
NPI number for Miss Nicole Leanne Vaughn is 1619426731 and her current mailing address is 1440 Lonesome Oak Ln, Russellville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619426731.
Healthcare Provider's Profile
Full Name | Miss Nicole Leanne Vaughn |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1440 Lonesome Oak Ln, Russellville, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619426731
- Provider Enumeration Date: 09/30/2016
- Last Update Date: 09/30/2016
Medical Identifiers
Medical identifiers for Miss Nicole Leanne Vaughn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619426731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4850 (Tennessee) | 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. Miss Nicole Leanne Vaughn 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 Address | Practice Location Address |
Miss Nicole Leanne Vaughn, CCC-SLP 1440 Lonesome Oak Ln, Russellville, TN 37860-9370 Ph: (423) 736-9923 | Miss Nicole Leanne Vaughn, CCC-SLP 1440 Lonesome Oak Ln, Russellville, TN 37860-9370 Ph: (423) 736-9923 |
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