Healthcare Provider Details

I. General information

NPI: 1619890696
Provider Name (Legal Business Name): BAILEY HIGGINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N LINCOLN ST
CABOT AR
72023-2733
US

IV. Provider business mailing address

3395 MOUNT TABOR RD
CABOT AR
72023-9561
US

V. Phone/Fax

Practice location:
  • Phone: 501-743-3571
  • Fax: 501-743-3521
Mailing address:
  • Phone: 501-743-3571
  • Fax: 501-743-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number220602
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: