Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | MD47183 | TN |
N | 208000000X | Pediatrician | 35 . 089787 | OH |
N | 208000000X | Pediatrician | 47183 | TN |
N | 2080P0204X | Pediatric Emergency Doctor | 35. 089787 | OH |
Y | 2080P0204X | Pediatric Emergency Doctor | 47183 | TN |
NPI | 1407017312 |
---|---|
Provider Name | Nicholas Higby |
First Address | Nashville, TN 37232-0005 |
Second Address | Nashville, TN 37232-0005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 15/10/2020 |