Individual
MRS. KIMBERLY DAWN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
251 N LYERLY ST STE 100, CHATTANOOGA, TN 37404-2743
(423) 826-8000
Mailing address
712 ASHBROOK DR, HIXSON, TN 37343-1285
(423) 290-5251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21078
TN
Other
Enumeration date
03/22/2016
Last updated
02/26/2020
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