| NPI | 1861794638 |
|---|---|
| Former Name | STACY LOGAN HIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN160257) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2021-12-08 |