| Doctor Name: | MRS. AMELIA MAE HIGGINBOTTOM |
| NPI Number: | 1609093665 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R560499 |
| Business Practice Address: | 12725 Hwy 23 N Tremont, MS - 388760122 |
| Business Phone Number: | 6626523361 |
| Business Fax Number: | 6626523363 |
| Mailing Address: | Po Box 122, TREMONT |
| State: | MS |
| Postal Code: | 388760122 |
| Phone Number: | 6626523361 |
| Fax Number: | 6626523363 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 04/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R560499 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |