Individual
KAYLA BARNETT FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1900
(662) 289-2486
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902733
MS
Other
Enumeration date
10/04/2018
Last updated
02/17/2023
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