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Primary Practice Address
300 E JEFFERSON ST SUITE 101
BOISE, ID 83712-6246 US
Accepts Medicare Payment

PECOS Enrolled

Shannon R Vaughn

Nurse Practitioner (Adult Health)


Shannon R Vaughn

Overview

Shannon R Vaughn is a Nurse Practitioner (Adult Health) in the BOISE area and has over 17 years of experience. Shannon R Vaughn primary office location is at 300 E JEFFERSON ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2008 The NPI number is 1306006929 and the information was updated approximately 13 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
300 E JEFFERSON ST SUITE 101
BOISE, ID 83712-6246 US
Phone: (208)-322-1680
Fax:
Practice Mailing Information
190 E BANNOCK ST
BOISE, ID 83712-6246 US
Phone: (208)-336-4141
Fax:
License NumberState
NP870AID