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

Nikki Daniell Vaughn, FNP-BC

Individual provider Registered Nurse · NPI 1366992851

Nikki Daniell Vaughn, FNP-BC is a Nurse Practitioner in Johnson City, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2015, 11 years ago. Practices with Ipc PAC Healthcare Services of Tennessee PC, a 75-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

119 Boone Ridge Dr Ste 201
Johnson City, TN 37615-4998
Phone: (423) 282-1480
Fax: (423) 928-1313
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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 APN0000021071 (TN)
Registered Nurse Taxonomy 163W00000X · Licence RN0000170732 (TN)

Record details

NPI number1366992851
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedOctober 7, 2016
Last updated in NPPESNovember 12, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2015 (11 years in practice)
Group practice Ipc Pac Healthcare Services Of Tennessee Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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