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Individual
STEPHANIE MARLA HIGDON
Active
Individual
STEPHANIE MARLA HIGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN223104
GA
363LF0000X
Family Nurse Practitioner
Primary
RN223104
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018019076
AMERICAN NURSES CREDINTIALING CENTER CERTIFICATION
—
Enumeration date
10/10/2018
Last updated
04/28/2021
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