Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Jordan Vaughn

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912598194

Charles Jordan Vaughn is a Student in an Organized Health Care Education/Training Program in Oxford, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1808 University Ave
Oxford, MS 38655-4112
Phone: (662) 513-0894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912598194
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 29, 2021
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

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