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Individual

JOHN FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8484
Mailing address
1633 BLACK SPRUCE WAY, WILLOW SPRING, NC 27592-7471
(954) 639-6823

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
234993
NC
163WM0705X
Medical-Surgical Registered Nurse
RN9289278
FL
163WN0800X
Neuroscience Registered Nurse
Primary
234993
NC

Other

Enumeration date
06/18/2019
Last updated
06/18/2019
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