Individual
KELLY HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2028
(407) 841-5281
(407) 648-9879
Mailing address
1941 MOHICAN TRAIL, MAITLAND, FL 32751
(407) 325-6712
(855) 708-2323
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1930852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305002500
—
FL
Enumeration date
07/27/2006
Last updated
05/23/2017
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