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Individual

DR. JEANNETTE ELIZABETH FERGUSON

Active
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Individual

DR. JEANNETTE ELIZABETH FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
NM2017-0776
NM
2084P0800X
Psychiatry Physician
Primary
R73842
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
MD2017-0776
NM
390200000X
Student in an Organized Health Care Education/Training Program
R73842
AZ
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
06/23/2013
Last updated
05/21/2018
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