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

Javan Bozard Vaughn, MSN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1447800958

Javan Bozard Vaughn, MSN, FNP-C is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2019, 7 years ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2019
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3 Richland Medical Park Dr Ste 120
Columbia, SC 29203-6850
Phone: (803) 434-8866
Fax: (803) 933-3049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 308 Bally Bunion Ln, Columbia, SC 29229-8123 — (803) 317-0897

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23149 (SC)

Record details

NPI number1447800958
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C
Sole proprietorYes
NPI enumeratedSeptember 17, 2019
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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