Provider Demographics
NPI:1245863547
Name:HINES-HIGGINS, SHERANDA (RDA, NA, PT, HHP)
Entity type:Individual
Prefix:MRS
First Name:SHERANDA
Middle Name:
Last Name:HINES-HIGGINS
Suffix:
Gender:F
Credentials:RDA, NA, PT, HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 CAROLINA FOREST BLVD APT 1C
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-8053
Mailing Address - Country:US
Mailing Address - Phone:501-392-7821
Mailing Address - Fax:
Practice Address - Street 1:326 CAROLINA FOREST BLVD APT 1C
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-8053
Practice Address - Country:US
Practice Address - Phone:501-392-7821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-15
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10308HHP171400000X, 175F00000X, 202D00000X
175M00000X
NC374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No175M00000XOther Service ProvidersMidwife, LayGroup - Multi-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Single Specialty