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

Mr. Brennan Foster Vaughn, PA-C

Individual provider Military Health Care Provider · NPI 1689113250

Mr. Brennan Foster Vaughn, PA-C is a Military Health Care Provider in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.

Licensed in
MS
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1420 Raymond Rd
Jackson, MS 39204-4358
Phone: (601) 387-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence PA00323 (MS)
Physician Assistant Taxonomy 363A00000X · Licence PA00323 (MS)

Record details

NPI number1689113250
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2017
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

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