Individual provider Active NPI

Jarah Vaughan Jacquay, MSN, RN, CNL

  • Ambulatory Care Registered Nurse
  • Pensacola, FL
National Provider Identifier
1376451773
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
RN9292708 Issued in FL
Practice address
760 East Ave
Pensacola, FL 32508-5136
Phone
(850) 452-7325
NPI assigned
Aug 28, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP2201X RN9292708 FL Primary

Addresses

Primary practice location

760 East Ave
Pensacola, FL 32508-5136

Mailing address

760 East Ave
Pensacola, FL 32508-5136
Phone (850) 452-7325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1376451773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 EAST AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325085136",
            "telephone_number": "850-452-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 EAST AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325085136",
            "telephone_number": "850-452-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUAY",
        "first_name": "JARAH",
        "middle_name": "VAUGHAN",
        "name_prefix": "Mr.",
        "credential": "MSN, RN, CNL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "FL",
            "license": "RN9292708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.