Provider Demographics
NPI:1447602321
Name:VAUGHT, EMILEE GAYLE (DNP, AGACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:EMILEE
Middle Name:GAYLE
Last Name:VAUGHT
Suffix:
Gender:F
Credentials:DNP, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 W MAIN ST
Mailing Address - Street 2:PO BOX 308
Mailing Address - City:HORATIO
Mailing Address - State:AR
Mailing Address - Zip Code:71842-0308
Mailing Address - Country:US
Mailing Address - Phone:870-832-5848
Mailing Address - Fax:870-832-0206
Practice Address - Street 1:206 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HORATIO
Practice Address - State:AR
Practice Address - Zip Code:71842-0308
Practice Address - Country:US
Practice Address - Phone:870-832-5848
Practice Address - Fax:870-832-0206
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-05
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004814363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care