Individual
MRS. AMELIA MAE HIGGINBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12725 HWY 23 N, TREMONT, MS 38876-0122
(662) 652-3361
(662) 652-3363
Mailing address
PO BOX 122, TREMONT, MS 38876-0122
(662) 652-3361
(662) 652-3363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R560499
MS
363LP2300X
Primary Care Nurse Practitioner
R560499
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116038
—
MS
Enumeration date
04/19/2007
Last updated
05/07/2025
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