Individual
MRS. RENEE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
Mailing address
900 WILKINSON ST, MANDEVILLE, LA 70448-3533
(985) 624-4450
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN083387
LA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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