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Individual

CASSONDRA L FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFRN

Contact information

Practice address
6400 E BROAD ST, SUITE 200, COLUMBUS, OH 43213
(614) 779-0381
(614) 626-8308
Mailing address
131 SAUNDERSVILLE RD, SUITE 160, HENDERSONVILLE, TN 37075
(615) 442-3517
(855) 540-4722

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
COA 17588 NP
OH
363LF0000X
Family Nurse Practitioner
334444
OH
363LF0000X
Family Nurse Practitioner
Primary
COA 17588- NPC
OH

Other

Enumeration date
07/13/2015
Last updated
08/17/2015
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