MEDICARE: KRISTEN BRAMMER HIGGINS FNP-C

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	207Q00000X	Family Medicine Physician	27255	SC

General Provider Information

NPI Number	:	1285440503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN BRAMMER HIGGINS FNP-C

Provider Business Mailing Address
First Line	:	705 PRESERVATION PL
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-5197
Country	:	US
Telephone Number	:	804-306-8795
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 SUMNER AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-3822
Country	:	US
Telephone Number	:	843-225-1115
Fax Number	:

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

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	12/10/2024

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