Individual
NANCY CAROL GRASS-FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
44 VERSAILLES BLVD, ALEXANDRIA, LA 71303-3960
(318) 201-5307
(318) 484-4800
Mailing address
PO BOX 12248, ALEXANDRIA, LA 71315-2248
(318) 880-8828
(318) 484-4800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN042281 AP01440
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1673528
—
LA
Enumeration date
04/24/2006
Last updated
10/29/2019
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