EVONNE HIGDON NP
NPI 1174060222
Nurse Practitioner in Mishawaka, IN

Q: What is Evonne Higdon's NPI number?

The NPI number for Evonne Higdon is 1174060222. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Q: What is Evonne Higdon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Evonne Higdon was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2017

611 E DOUGLAS RD STE 208, MISHAWAKA, IN 46545(574) 335-6700(574) 335-0726 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Evonne Higdon Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVONNE HIGDON NP (NPI 1174060222) is an individual nurse practitioner in Mishawaka, Indiana, licensed in Indiana (28156466) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1174060222

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEVONNE HIGDONCredential: NP

Location Address611 E DOUGLAS RD STE 208Mishawaka, IN 46545-1465

Mailing Address707 Cedar St Ste 200South Bend, IN 46617-2057 · (574) 335-8700 · Fax (574) 335-0741

Phone(574) 335-6700

Fax(574) 335-0726

Sole ProprietorNo

Enumeration DateJanuary 27, 2017

✔ NPI 1174060222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 28156466

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

611 E DOUGLAS RD STE 208, Mishawaka, IN 46545

Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HARSHA SANTHESHIVARA NAGARAJARAO M.D.

Internal Medicine (Cardiovascular Disease)