Individual
NATALIE RAYE HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
505 E ASH ST, LA FOLLETTE, TN 37766-2529
(423) 494-4507
Mailing address
505 E ASH ST, LA FOLLETTE, TN 37766-2529
(423) 494-4507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000087243
TN
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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