IndividualActive
Jared Vaughan, MD
NPI 1093391351 · Emergency Medicine Physician · Keesler Afb, MS
Provider details
- NPI number
- 1093391351
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 31533 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
301 Fisher St
Keesler Afb, MS 39534-2508
Phone: (228) 376-2273
Approximate (ZIP-level) locationGet directions
Mailing address
301 Fisher St
Keesler Afb, MS 39534-2508
Registry dates
- Enumerated
- 2021-03-18
- Last updated
- 2024-07-14
- Certified
- 2024-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.