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

Mrs. Jerrica Brianne Vaughan, CPNP-PC

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1245768662

Mrs. Jerrica Brianne Vaughan, CPNP-PC is a Developmental - Behavioral Pediatrics Physician in New Berlin, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017
Specialties on file
3

Practice location Address checks out

4855 S Moorland Rd Ste 250
New Berlin, WI 53151-7494
Phone: (262) 789-6020
Fax: (262) 789-6025
Show map & directions

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

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 20227463 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 226174 (WI)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 7420 (WI)

Record details

NPI number1245768662
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedMay 30, 2017
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023