Provider Demographics
NPI:1609946334
Name:HIGDON, YVONNE N (CRNP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:N
Last Name:HIGDON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20707
Mailing Address - Street 2:200 UNIVERSITY BLVD
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35402-0707
Mailing Address - Country:US
Mailing Address - Phone:207-759-0633
Mailing Address - Fax:205-759-0133
Practice Address - Street 1:200 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35402-0707
Practice Address - Country:US
Practice Address - Phone:205-759-0633
Practice Address - Fax:205-759-0133
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1026954363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P81522Medicare UPIN