MEDICARE: JILL K HIGGINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024182723	VA

General Provider Information

NPI Number	:	1255002606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL K HIGGINS

Provider Business Mailing Address
First Line	:	PO BOX 1442
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22604-7942
Country	:	US
Telephone Number	:	540-324-3261
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 CATOCTIN CIR NE STE 101
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-3101
Country	:	US
Telephone Number	:	540-324-3261
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2021
Last Update Date	:	01/13/2026

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