Individual
TOWANA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CROTHERS DR, TALLULAH, LA 71282-5510
(318) 574-8111
(318) 434-6023
Mailing address
1918 RICHARD DR, MONROE, LA 71201-4524
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221223
LA
Other
Enumeration date
06/26/2017
Last updated
08/16/2022
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