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Individual

MS. LESLIE MARIE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006668
KY
363LA2100X
Acute Care Nurse Practitioner
0990672-NP
CO
363LA2100X
Acute Care Nurse Practitioner
3006668
KY

Other

Enumeration date
10/12/2010
Last updated
11/07/2016
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