Individual
MICHELLE LYNN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 IVAL JAMES BLVD STE C, RICHMOND, KY 40475-8281
(859) 575-1323
Mailing address
1018 IVAL JAMES BLVD STE C, RICHMOND, KY 40475-8281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017462
KY
Other
Enumeration date
05/13/2022
Last updated
01/18/2023
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