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NPI Code Detail

MEDICARE: CRYSTAL RENEE HIGGINS RN

MEDICARE: CRYSTAL RENEE HIGGINS RN
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
1163WA0400XAddiction (Substance Use Disorder) Registered Nurse355191NC

General Provider Information

NPI Number : 1467221713
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL RENEE HIGGINS RN
Provider Business Mailing Address
First Line : 223 WASHINGTON AVE
Second Line :
City : NORTH WILKESBORO
State : NC
Zip : 28659-7769
Country : US
Telephone Number : 336-957-1397
Fax Number :
Provider Business Practice Location Address
First Line : 200 NORTHVIEW PLZ
Second Line :
City : NORTH WILKESBORO
State : NC
Zip : 28659-3173
Country : US
Telephone Number : 336-818-5068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2023
Last Update Date : 03/16/2026

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