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

Mrs. Charlene Luecinda Vaughan, NP

Individual provider Family Nurse Practitioner · NPI 1790035731

Mrs. Charlene Luecinda Vaughan, NP is a Nurse Practitioner in Columbus, Mississippi. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
15
Licensed in
MS
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

111 Alabama St
Columbus, MS 39702-5220
Phone: (662) 570-4636
Fax: (662) 798-0191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R778046 (MS)

Record details

NPI number1790035731
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 18, 2012
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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