Individual
MS. CARISSA JO HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP
Contact information
Practice address
10220 W. 31ST AVE, #101, PHOENIX, AZ 85051
(602) 997-2233
(602) 997-2667
Mailing address
3450 N 3RD STREET, PHOENIX, AZ 85012
(602) 257-9339
(602) 265-8559
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4069
AZ
Other
Enumeration date
07/26/2006
Last updated
09/14/2012
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