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Individual
MS. REBECCA LYNNE FERGUSON
Active
Individual
MS. REBECCA LYNNE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9168930
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9168930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010828400
—
FL
01
—
APRN9168930
FLORIDA MEDICAL LICENSE
FL
Enumeration date
12/20/2013
Last updated
06/05/2019
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