Provider Demographics
NPI:1235110842
Name:VAUGHN-KERNS, KAREN RENEE (CNM, ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:RENEE
Last Name:VAUGHN-KERNS
Suffix:
Gender:F
Credentials:CNM, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1851 WINSLOE DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4942
Mailing Address - Country:US
Mailing Address - Phone:727-365-1610
Mailing Address - Fax:
Practice Address - Street 1:2044 TRINITY OAKS BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4405
Practice Address - Country:US
Practice Address - Phone:727-376-0060
Practice Address - Fax:727-375-7308
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2223582367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife