Provider Demographics
NPI:1760296198
Name:HIGGINS, JOLYNNE BRIANNA (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:JOLYNNE
Middle Name:BRIANNA
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 SIMON DR
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2848
Mailing Address - Country:US
Mailing Address - Phone:209-632-3208
Mailing Address - Fax:
Practice Address - Street 1:1000 DELBON AVE STE 3
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2008
Practice Address - Country:US
Practice Address - Phone:209-669-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033855363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily