Provider Demographics
NPI:1013206127
Name:VAUGHN, CHRISTINA ELLEN (ARNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ELLEN
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:ELLEN
Other - Last Name:HANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:914 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-4140
Mailing Address - Country:US
Mailing Address - Phone:352-377-0881
Mailing Address - Fax:352-374-6823
Practice Address - Street 1:914 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4140
Practice Address - Country:US
Practice Address - Phone:352-377-0881
Practice Address - Fax:352-374-6823
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9262242363L00000X
FLAPRN9262242367A00000X
FLARNP9262242363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife