Individual
JOY KIMBERLY HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
204 PATRICK AVE, URBANA, OH 43078-2302
(937) 484-6157
(937) 484-6181
Mailing address
204 PATRICK AVE, URBANA, OH 43078-2302
(937) 484-6157
(937) 484-6181
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP 06404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285790
—
OH
Enumeration date
12/26/2006
Last updated
10/10/2014
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