Provider Demographics
NPI:1821029877
Name:HIGGINS, ANGELA DAWN (PA-C)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:DAWN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 MEDICAL CENTER PKWY STE K
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2578
Mailing Address - Country:US
Mailing Address - Phone:615-624-5050
Mailing Address - Fax:615-624-5056
Practice Address - Street 1:1970 MEDICAL CENTER PKWY STE K
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2578
Practice Address - Country:US
Practice Address - Phone:615-624-5050
Practice Address - Fax:615-624-5056
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA877363A00000X
TNPA0000000877363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP48423Medicare UPIN
TN3668602Medicare ID - Type Unspecified