Individual
NIKITA JACKSON FERGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2727 HEARNE AVE STE 301, SHREVEPORT, LA 71103-3918
(318) 631-6400
Mailing address
9516 CASTLEBROOK DR, SHREVEPORT, LA 71129-4810
(318) 422-3995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220856
LA
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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