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Individual

JENNIFER FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7001 FOREST AVE, 302, RICHMOND, VA 23230-1726
(804) 282-2655
(804) 672-4948
Mailing address
7001 FOREST AVE, 302, RICHMOND, VA 23230-1726
(804) 282-2655
(804) 672-4948

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
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