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Individual

JULIA HIGGINBOTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
13031 LEE JACKSON MEMORIAL HWY, FAIRFAX, VA 22033-2050
(703) 378-7550
Mailing address
3909 MONUMENT AVE, RICHMOND, VA 23230-3901
(804) 201-5279

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179969
VA

Other

Enumeration date
01/20/2021
Last updated
01/20/2021
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