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Individual
JENNIFER SORRELLE-FERGUSON
Active
Individual
JENNIFER SORRELLE-FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
AP
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP125598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245600154
—
AZ
Enumeration date
10/05/2015
Last updated
08/24/2018
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