Individual
MRS. ORELE SHANANAE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 765-2501
(580) 765-0984
Mailing address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 765-2501
(580) 765-0984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102530
OK
363L00000X
Nurse Practitioner
Primary
F02200717
OK
Other
Enumeration date
03/05/2020
Last updated
11/20/2023
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