Provider Demographics
NPI:1871067991
Name:DIGGS, ABIGAIL C (FNP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:C
Last Name:DIGGS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5047 HICKORY BURL CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5787
Mailing Address - Country:US
Mailing Address - Phone:903-422-1588
Mailing Address - Fax:
Practice Address - Street 1:5047 HICKORY BURL CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-5787
Practice Address - Country:US
Practice Address - Phone:903-422-1588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139986363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP139986OtherSELF PAYER