Individual provider · Type 1 NPI
Jennifer Dawn Gaughan
Nurse Practitioner · Grovetown, GA
Practice location
716 Porter Ln
Grovetown, GA 30813-2271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 303080 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1891600557
Jennifer Dawn Gaughan's National Provider Identifier is 1891600557, issued on Aug 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grovetown, GA. The record was last updated on Aug 17, 2026.