Healthcare Provider Details
I. General information
NPI: 1952487308
Provider Name (Legal Business Name): FRANCES WILSON HIGGINS RN MS CS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/28/2006
Last Update Date: 11/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
951 MAIN ST
GRAND JUNCTION CO
81501-3538
US
IV. Provider business mailing address
951 MAIN ST
GRAND JUNCTION CO
81501
US
V. Phone/Fax
- Phone: 970-242-4567
- Fax: 970-248-9006
- Phone: 970-242-4567
- Fax: 970-248-9006
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SP0808X |
| Taxonomy | Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | 43254 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: