Individual provider · Type 1 NPI

Emily Jane Vaughn, PA-C

Medical Physician Assistant · Portland, TN

NPI number 1083414882 Active

Practice location

934 S Broadway St Ste C
Portland, TN 37148-1718

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1083414882

Emily Jane Vaughn, PA-C's National Provider Identifier is 1083414882, issued on Mar 19, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, TN. The record was last updated on Apr 21, 2026.