Individual
ALICE NICOLE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 N STATE ST STE 101, JACKSON, MS 39202-2002
(601) 355-2485
Mailing address
406 WOODLAKE CV W, BRANDON, MS 39047-6093
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
912764
MS
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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