Individual
MRS. JESSICA LAURYNN HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 223-5070
Mailing address
29305 N COUNTY ROAD 3130, ELMORE CITY, OK 73433-8695
(405) 207-6777
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
57424
OK
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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