Individual
LINDA GAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
310 E STONER AVE, MENTAL HEALTH SERVICES, SHREVEPORT, LA 71101-4215
(318) 221-8411
Mailing address
310 E STONER AVE, ATTN: CREDENTIALS OFFICE, SHREVEPORT, LA 71101-4215
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
659755
TX
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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