Provider Demographics
NPI:1316282171
Name:TARTUE-HIGGINS, JUSTINA (NP)
Entity type:Individual
Prefix:
First Name:JUSTINA
Middle Name:
Last Name:TARTUE-HIGGINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MALLARDS CREST CT
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-5691
Mailing Address - Country:US
Mailing Address - Phone:609-222-9873
Mailing Address - Fax:
Practice Address - Street 1:1676 E LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08362-1513
Practice Address - Country:US
Practice Address - Phone:856-696-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00408500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily