Individual
JAMIE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
218 SUNSET RD, WILLINGBORO, NJ 08046-1110
(609) 835-3030
Mailing address
278 EAGLEVIEW BLVD, EXTON, PA 19341-1157
(610) 226-6202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00359500
NJ
363A00000X
Physician Assistant
MA057444
PA
Other
Enumeration date
02/16/2015
Last updated
09/04/2019
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