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Individual
LINDA M. FERGUSON
Active
Individual
LINDA M. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008851
PA
363LC1500X
Community Health Nurse Practitioner
SP008851
PA
363LF0000X
Family Nurse Practitioner
SP008851
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102866705
—
PA
Enumeration date
08/04/2006
Last updated
03/20/2024
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