Individual provider · Type 1 NPI

Polly S. Vaughan, CRNP

Psychiatric/Mental Health Nurse Practitioner · Wilmington, OH

NPI number 1063609287 Active

Practice location

140 Fairway Dr
Wilmington, OH 45177-8008

Fax (937) 730-0023

Mailing address

6100 Gurneyville Rd
Wilmington, OH 45177-6508

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN.CNP.09551 (OH)
Family Nurse Practitioner 363LF0000XAPRN.CNP.09551 (OH)
Pediatric Nurse Practitioner 363LP0200XNP-09551 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063609287

Polly S. Vaughan, CRNP's National Provider Identifier is 1063609287, issued on Oct 2, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wilmington, OH. The record was last updated on May 17, 2026.