Individual provider · Type 1 NPI
Brennan Foster Vaughn, PA-C
Military Health Care Provider · Jackson, MS
NPI number
1689113250
Active
Practice location
1420 Raymond Rd
Jackson, MS 39204-4358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | PA00323 (MS) |
| Physician Assistant | 363A00000X | PA00323 (MS) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Jackson
About NPI 1689113250
Brennan Foster Vaughn, PA-C's National Provider Identifier is 1689113250, issued on Feb 15, 2017. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Jackson, MS. The record was last updated on Apr 20, 2026.