Individual
JONATHAN HIGGINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3150 N TENAYA WAY STE 480, LAS VEGAS, NV 89128-0494
(702) 577-0024
(702) 608-4737
Mailing address
7150 W SUNSET RD STE 200, LAS VEGAS, NV 89113-1982
(702) 385-4342
(702) 385-4346
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
820636
NV
363LF0000X
Family Nurse Practitioner
820636
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820636
NEVADA STATE BOARD OF NURSING
NV
01
—
RN84307
NEVADA STATE BOARD OF NURSING
NV
Enumeration date
05/23/2019
Last updated
09/17/2024
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