Provider Demographics
NPI:1659617686
Name:HART HIGGINS, LAURA ANN (APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:HART HIGGINS
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ANN
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, CPNP-PC
Mailing Address - Street 1:2249 MEDICAL CENTER PKWY STE C&D
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4279
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2249 MEDICAL CENTER PKWY STE C&D
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4279
Practice Address - Country:US
Practice Address - Phone:629-219-2767
Practice Address - Fax:629-219-2768
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN176531163W00000X
CT224745163W00000X
NC5019133363LP0200X
FLAPRN11029613363LP0200X
VA0024191190363LP0200X
CT13806363LP0200X
TN17422363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ025976Medicaid