Individual
DR. JEANNETTE ELIZABETH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHILD PSYCHIATRIC CENTER 1001 YALE BLVD NE, ALBUQUERQUE, NM 87131
(505) 272-0371
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC 09-5030, ALBUQUERQUE, NM 87131-0001
(505) 272-2223
(505) 272-4639
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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