Individual
JACQUELINE HIGUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 815-5830
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011145
NC
Other
Enumeration date
11/18/2011
Last updated
07/16/2020
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