Individual
BRETT ANTHONY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8033 W FLORISSANT AVE STE A, JENNINGS, MO 63136-1412
(314) 888-0971
(314) 408-7062
Mailing address
PO BOX 740019, ATLANTA, GA 30374-0019
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2009032382
MO
Other
Enumeration date
07/11/2018
Last updated
10/03/2024
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