Individual
KELLY A FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198
(402) 559-8888
(402) 559-3060
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111365
NE
363LF0000X
Family Nurse Practitioner
A-112482
IA
Other
Enumeration date
10/20/2011
Last updated
08/08/2018
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