Mrs Wallace Ann Vaughan, RN, BSN is a
Student In An Organized Health Care Education/training Program based in Charleston, South Carolina. Mrs Wallace Ann Vaughan is licensed to practice in * (Not Available) (license number ) and her current practice location is
99 Jonathan Lucas St, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 792-8515.
NPI number for Mrs Wallace Ann Vaughan is 1891627816 and her current mailing address is 99 Jonathan Lucas St, Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891627816.
Provider's Profile
| Full Name | Mrs Wallace Ann Vaughan |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 99 Jonathan Lucas St, Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891627816
- Provider Enumeration Date: 06/02/2026
- Last Update Date: 06/02/2026
Medical Identifiers
Medical identifiers for Mrs Wallace Ann Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891627816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 255056 (South Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Wallace Ann Vaughan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Wallace Ann Vaughan, RN, BSN
99 Jonathan Lucas St,
Charleston, SC 29425-8900
Ph: () - | Mrs Wallace Ann Vaughan, RN, BSN
99 Jonathan Lucas St,
Charleston, SC 29425-8900
Ph: (843) 792-8515 |
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