Individual
MRS. JO-ELLEN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 MISSOURI AVE, BLDG 312, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0131
(573) 596-0168
Mailing address
126 MISSOURI AVE, BUILDING 312, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0131
(573) 596-0168
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
145767
MO
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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