Individual
RACHAEL N FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMS, PA-C
Contact information
Practice address
6151 N MAIN STREET RD, WEBB CITY, MO 64870-8189
(417) 781-0408
(417) 556-5337
Mailing address
3493 BELLA VISTA WAY, BELLA VISTA, AR 72714-5740
(479) 265-3712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1626
OK
363A00000X
Physician Assistant
Primary
2014035677
MO
363A00000X
Physician Assistant
PA01567
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316144660
—
MO
05
—
201105830A
—
KS
01
—
P01408849
RAIL ROAD MEDICARE
MO
Enumeration date
06/29/2007
Last updated
09/08/2025
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