Higginbotham, Tara

Higginbotham, Tara is an sole proprietor health care provider with primary practice located at 23699 Quail Lane , Mandeville LA 70448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Higginbotham, Tara can be contacted via phone (985) 334-4040.

Contact Information

Primary practice address
23699 Quail Lane Mandeville LA 70448
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 227420 Louisiana

Profile Details

NPI number 1366945388
LBN Legal business name Higginbotham, Tara
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2018
Last updated Jan 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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