Individual
MICAH HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5511 LEE AVE APT A, LITTLE ROCK, AR 72205-3439
(479) 459-9919
Mailing address
5511 LEE AVE APT A, LITTLE ROCK, AR 72205-3439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
214742
AR
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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