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General NPI Number Information
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NPI Number | 1235527144
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Entity Type | Individual
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Provider Name | LOUKISHA MONIQUE ROBERTS-HIGGENBOTHAM DNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 243 W MAIN ST
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City | SWAINSBORO
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State | GA
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Zip | 30401-3163
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Country | US
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Telephone | 478-237-2484
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Fax | 478-237-7541
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Provider Business Mailing Address
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Address Line | 538 W COMMERCE ST STE 4350
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City | DALLAS
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State | TX
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Zip | 75208-1921
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Country | US
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Telephone | 478-285-9950
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Fax | 672-682-2064
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN232719
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1034108
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN232719
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 285428
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License Number State | AZ
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