Individual
JENNIFER FERGUSON
Active
Individual
JENNIFER FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101046035
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010047927
—
VA
05
—
010236797
—
VA
01
—
137083
BCBS
VA
01
—
188196
BLUE CROSS BLUE SHIELD
VA
01
—
P00100173
RAILROAD MEDICARE
VA
Enumeration date
02/07/2006
Last updated
05/20/2011
Update your record
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