| Doctor Name: | MS. TARA YVONNE HIGGINS |
| NPI Number: | 1235573213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN0000183715 |
| Business Practice Address: | 101 Okolona Dr Erwin, TN - 376501387 |
| Business Phone Number: | 4237439103 |
| Business Fax Number: | 4237439105 |
| Mailing Address: | 101 Okolona Dr, ERWIN |
| State: | TN |
| Postal Code: | 376501387 |
| Phone Number: | 4237439103 |
| Fax Number: | 4237439105 |
| NPI Enumeration Date: | 04/22/2013 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN0000183715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |