Higginbotham, Joy Kimberly

Higginbotham, Joy Kimberly is an individual health care provider with primary practice located at 204 Patrick Ave , Urbana OH 43078-2302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Higginbotham, Joy Kimberly can be contacted via phone (937) 484-6157.

Contact Information

Primary practice address
204 Patrick Ave Urbana OH 43078-2302
Phone: (937) 484-6157
Fax: (937) 484-6181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP 06404 Ohio

Profile Details

NPI number 1053476523
LBN Legal business name Higginbotham, Joy Kimberly
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Oct 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053476523 NPPES
Ohio MEDICAID 2285790

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