Individual
MRS. SANDRA N FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1518 PHILADELPHIA RD, JOPPA, MD 21085-3216
(443) 840-9478
(410) 538-5510
Mailing address
1518 PHILADELPHIA RD, JOPPA, MD 21085-3216
(443) 840-9478
(410) 538-5510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016015572
MD
363LF0000X
Family Nurse Practitioner
R197133
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847503200
—
MD
Enumeration date
10/05/2016
Last updated
10/01/2024
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