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

Jillian Vaughan

Individual provider Neuroscience Registered Nurse · NPI 1437758489

Jillian Vaughan is a Nurse Practitioner in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with Christopher Vaughan MD PLLC, a 4-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2020
Specialties on file
2

Practice location Address checks out

301 W Myrtle St
Boise, ID 83702-7656
Phone: (208) 342-8200
Show map & directions

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

Additional practice locations (1)

  • 16111 N Brinson St # 110, Nampa, ID 83687-5509 — (208) 906-1600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53890 (ID)
Neuroscience Registered Nurse Taxonomy 163WN0800X · Licence 53890 (ID)

Record details

NPI number1437758489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2020
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Christopher Vaughan Md Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services