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General NPI Number Information
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NPI Number | 1457707838
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Entity Type | Individual
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Provider Name | JENNIFER A HIGDON MSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 2400 EASTPOINT PKWY STE 350
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City | LOUISVILLE
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State | KY
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Zip | 40223-4154
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Country | US
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Telephone | 502-928-8970
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Fax | 502-928-8971
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Provider Business Mailing Address
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Address Line | 5200 COMMERCE CROSSINGS DR FL 3
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City | LOUISVILLE
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State | KY
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Zip | 40229-2182
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Country | US
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Telephone | 502-253-4900
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28219996A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3010366
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License Number State | KY
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