Individual provider · Type 1 NPI

Bailey Shannon Vaughn, PA-C

Physician Assistant · St. Louis, MO

NPI number 1306603055 Active

Practice location

9556 Manchester Rd
St. Louis, MO 63119-1313

Call (314) 373-5740 Map

Mailing address

12541 Westport Dr
St. Louis, MO 63146-3857

Other practice locations

  • 621 S New Ballas Rd Ste 560A, St. Louis, MO 63141-8261 · (314) 251-6440

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2024007399 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306603055

Bailey Shannon Vaughn, PA-C's National Provider Identifier is 1306603055, issued on Feb 29, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on May 8, 2026.