Individual
CRYSTAL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(304) 429-1088
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 696-1623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010373
KY
363LF0000X
Family Nurse Practitioner
636444
WV
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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