MEDICARE: HIGGS FAMILY CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1790636298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGGS FAMILY CARE, LLC

Provider Business Mailing Address
First Line	:	2816 VEACH RD STE 107108
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-6295
Country	:	US
Telephone Number	:	270-441-3311
Fax Number	:

Provider Business Practice Location Address
First Line	:	2816 VEACH RD STE 107108
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-6295
Country	:	US
Telephone Number	:	270-441-3311
Fax Number	:

Authorized Official
Title or Position	:	APRN-FNP-BC, DNP
Name	:	MRS. TISHA HIGGS
Credential	:	APRN-FNP-BC, DNP
Telephone Number	:	270-441-3311

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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