Individual provider · Type 1 NPI

Cathy Sue Vaughn

Licensed Practical Nurse · Poplar Bluff, MO

NPI number 1477424745 Active

Practice location

101 S Main St
Poplar Bluff, MO 63901-5843

Fax (573) 785-4104

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043161 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1477424745

Cathy Sue Vaughn's National Provider Identifier is 1477424745, issued on Sep 17, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Sep 17, 2025.