Provider Demographics
NPI:1407823545
Name:HIGGINS, BRENDA CRAIG (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:CRAIG
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CATALINA DRIVE
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501
Mailing Address - Country:US
Mailing Address - Phone:660-665-2555
Mailing Address - Fax:660-785-4011
Practice Address - Street 1:100 E NORMAL AVE
Practice Address - Street 2:MCKINNEY CENTER
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-4200
Practice Address - Country:US
Practice Address - Phone:660-785-4562
Practice Address - Fax:660-785-4011
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO096936363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily