# MIKI L FERGUSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356689103
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3007704 | KY | Yes |

## Other

- **Enumeration date:** 01/29/2013
- **Last updated:** 05/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000802747 | ANTHEM - NNIKY | KY |
| 01 | — | 144543 | SIHO - NNIKY | KY |
| 05 | — | 201140060 | — | IN |
| 01 | — | 50047890 | PASSPORT - NNI | KY |
| 05 | — | 7100234060 | — | KY |