Doctor Name: | JEANA HIGGINSON |
NPI Number: | 1861794463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 7160170-3101 |
Business Practice Address: | 944 North Main Street Nephi, UT - 846481004 |
Business Phone Number: | 4356231456 |
Business Fax Number: | 4356231127 |
Mailing Address: | 152 North 400 West, EPHRAIM |
State: | UT |
Postal Code: | 846272131 |
Phone Number: | 4352838400 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2010 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 7160170-3101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |