What is Juana Copta-vaughan's NPI number?

The NPI number assigned to this healthcare provider is 1346655602, enumerated as a individual on June 25, 2014.

Where is the provider located?

The provider is located at 1506 MARY KAY BLVD BENTON, AR 72015 and the phone number is (501) 315-3344.

What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

JUANA COPTA-VAUGHAN LPN - NPI 1346655602 - Licensed Practical Nurse in Benton, AR

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About Juana Copta-vaughan Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUANA COPTA-VAUGHAN LPN (NPI 1346655602) is an individual licensed practical nurse in Benton, Arkansas, licensed in Arkansas (L046283) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1346655602

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJUANA COPTA-VAUGHANCredential: LPN

Location Address1506 MARY KAY BLVDBenton, AR 72015-8909

Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344

Phone(501) 315-3344

Sole ProprietorNo

Enumeration DateJune 25, 2014

Last NPPES UpdateJune 26, 2014

✔ NPI 1346655602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AR · L046283

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1506 MARY KAY BLVD, Benton, AR 72015

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