IndividualActive
Brennan Vaughn, PA-C
NPI 1689113250 · Military Health Care Provider · Jackson, MS
Provider details
- NPI number
- 1689113250
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA00323 (MS)
Specialties & taxonomies
Other Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1420 Raymond Rd
Jackson, MS 39204-4358
Phone: (601) 387-3400
Approximate (ZIP-level) locationGet directions
Mailing address
1420 Raymond Rd
Jackson, MS 39204-4358
Registry dates
- Enumerated
- 2017-02-15
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.