Healthcare Provider Details

I. General information

NPI: 1013137298
Provider Name (Legal Business Name): JUNE L. HIGGINS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2038 CARMEL RD
MILLVILLE NJ
08332
US

IV. Provider business mailing address

PO BOX 167
MILLVILLE NJ
08332-0167
US

V. Phone/Fax

Practice location:
  • Phone: 856-825-6010
  • Fax: 856-327-4281
Mailing address:
  • Phone: 865-825-6810
  • Fax: 856-765-0252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number26NJ00110400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: