Individual
CYNTHIA D FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
721 FAIRFAX AVE, SUITE 200, NORFOLK, VA 23507-2007
(757) 446-5629
(757) 446-6000
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840865
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-005
TRICARE/CHAMPUS
VA
01
—
10049273P
SENTARA/OPTIMA HEALTH
VA
05
—
1255350765
—
VA
05
—
8101062
—
NC
01
—
PAR
CORVEL/CORCARE
VA
Enumeration date
07/18/2006
Last updated
01/14/2026
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