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JULIA HIGGINBOTHAM FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1366032757

Individual Registrant:
 JULIA  HIGGINBOTHAM FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
13031 LEE JACKSON MEMORIAL HWY  FAIRFAX, VA 22033-2050 US
Tel: 703-378-7550  Fax: --

Contact information for business:
3909 MONUMENT AVE  RICHMOND, VA 23230-3901 US
Tel: 804-201-5279  Fax: --

Registration Information:
NPI: 1366032757
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
VA0024179969

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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