Individual
BETHANY JOY WINFREY FERGUSON
Active
Individual
BETHANY JOY WINFREY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-013059
IL
363LF0000X
Family Nurse Practitioner
Primary
209-013059
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-013059
IL APN LICENSE
IL
Enumeration date
08/14/2015
Last updated
07/29/2026
Update your record
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