Healthcare Provider Details

I. General information

NPI: 1477472926
Provider Name (Legal Business Name): ABIGAIL LAUREN HIGGINBOTHAM MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 PINNELL ST
RIPLEY WV
25271
US

IV. Provider business mailing address

26393 CHARLESTON RD
LEON WV
25123-6720
US

V. Phone/Fax

Practice location:
  • Phone: 304-372-2731
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number103237
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: