| Doctor Name: | JOY KIMBERLY HIGGINBOTHAM |
| NPI Number: | 1053476523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | NP 06404 |
| Business Practice Address: | 204 Patrick Ave Urbana, OH - 430782302 |
| Business Phone Number: | 9374846157 |
| Business Fax Number: | 9374846181 |
| Mailing Address: | 204 Patrick Ave, URBANA |
| State: | OH |
| Postal Code: | 430782302 |
| Phone Number: | 9374846157 |
| Fax Number: | 9374846181 |
| NPI Enumeration Date: | 12/26/2006 |
| NPI Last Update Date: | 10/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | NP 06404 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |