Individual
ELAINA HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1820 HAYNES ST, CLARKSVILLE, TN 37043-4547
(931) 245-1500
(931) 245-1544
Mailing address
1820 HAYNES ST, CLARKSVILLE, TN 37043-4547
(931) 245-1500
(931) 245-1500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12265
TN
363L00000X
Nurse Practitioner
5027P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q001338
—
TN
Enumeration date
03/13/2007
Last updated
05/01/2014
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