Provider Demographics
NPI:1740493246
Name:HIGGINS, GAIL B (RN, MSN, FNP, CNS)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:B
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:RN, MSN, FNP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1155
Mailing Address - Country:US
Mailing Address - Phone:413-446-0498
Mailing Address - Fax:
Practice Address - Street 1:27 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1155
Practice Address - Country:US
Practice Address - Phone:413-446-0498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN110064363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health