Individual
BROOKLYN DANIELLE HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
740 S LIMESTONE, STE K201, LEXINGTON, KY 40536-0001
(859) 323-6211
(859) 257-0491
Mailing address
4709 BUD LN, LEXINGTON, KY 40514-1452
(859) 230-4539
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
4044603
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
4044603
KY
Other
Enumeration date
09/12/2025
Last updated
10/24/2025
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