Individual
SARAH ANN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 MEDICAL PARK BLVD, STE 3600, BRISTOL, TN 37620-7346
(423) 990-2414
(423) 990-2417
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN17772
TN
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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