Individual provider · Type 1 NPI
Dominique Nicole Vaughn, AGNP-C
Gerontology Nurse Practitioner · Cordova, TN
NPI number
1124884895
Active
Practice location
682 Woodland Fox Ln W
Cordova, TN 38018-1147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 35863 (TN) |
Gerontology Nurse Practitioner: Definition to come...
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- Lisa Michelle Archer, RN, APRNGerontology Nurse Practitioner Cordova, TN NPI 1821732488
About NPI 1124884895
Dominique Nicole Vaughn, AGNP-C's National Provider Identifier is 1124884895, issued on Feb 21, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Cordova, TN. The record was last updated on May 12, 2025.