Healthcare Provider Details

I. General information

NPI: 1013206127
Provider Name (Legal Business Name): CHRISTINA ELLEN VAUGHN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA ELLEN HANCE RN

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 NW 13TH ST
GAINESVILLE FL
32601-4140
US

IV. Provider business mailing address

914 NW 13TH ST
GAINESVILLE FL
32601-4140
US

V. Phone/Fax

Practice location:
  • Phone: 352-377-0881
  • Fax: 352-374-6823
Mailing address:
  • Phone: 352-377-0881
  • Fax: 352-374-6823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9262242
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN9262242
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9262242
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: