Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JERRICA BRIANNE VAUGHAN, CPNP-PC
ActiveMRS. JERRICA BRIANNE VAUGHAN, CPNP-PC is a Developmental-Behavioral Pediatrics healthcare provider located in NEW BERLIN, Wisconsin. NPI 1245768662 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · NEW BERLIN, WI
Registration Details
- NPI Number
- 1245768662
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2017 (9.1718420748587 yrs)
- Last Updated
- Jul 10, 2023
- Licenses
-
20227463 (WI)226174 (WI)7420 (WI)
Practice Information
- Address
-
4855 S MOORLAND RD STE 250NEW BERLIN, WI, 531517494Browse WI providers · Browse ZIP 53151
- Phone
- 2627896020
- Fax
- 2627896025
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Pediatric Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.