Provider Demographics
NPI:1447225826
Name:HIGHTOWER, SUSAN LORRAINE (MSN, ARNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LORRAINE
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:MSN, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7055 GUTHRIE RD
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:KY
Mailing Address - Zip Code:42234-8610
Mailing Address - Country:US
Mailing Address - Phone:270-483-2926
Mailing Address - Fax:
Practice Address - Street 1:650 JOEL DR
Practice Address - Street 2:
Practice Address - City:FORT CAMPBELL
Practice Address - State:KY
Practice Address - Zip Code:42223-5318
Practice Address - Country:US
Practice Address - Phone:270-798-8435
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3033P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily