Provider Demographics
NPI:1558706341
Name:HIGGINS, LYNDA MARY (RN)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:MARY
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6134 CHISOLM RD
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-7657
Mailing Address - Country:US
Mailing Address - Phone:843-559-6412
Mailing Address - Fax:843-559-6415
Practice Address - Street 1:6134 CHISOLM RD
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-7657
Practice Address - Country:US
Practice Address - Phone:843-559-6412
Practice Address - Fax:843-559-6415
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR88281163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool