Provider Demographics
NPI:1285440503
Name:HIGGINS, KRISTEN BRAMMER (FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:BRAMMER
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 PRESERVATION PL
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-5197
Mailing Address - Country:US
Mailing Address - Phone:804-306-8795
Mailing Address - Fax:
Practice Address - Street 1:1220 SUMNER AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-3822
Practice Address - Country:US
Practice Address - Phone:843-225-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27255207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine