Individual
MRS. EBONY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC; AGCNS-BC
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-4824
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024173896
VA
363LG0600X
Gerontology Nurse Practitioner
0024173896
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
0024173896
VA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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