Individual
CONNIE RAE KLEIN-FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
388 WEBB PIERCE ROAD, JACKSON, OH 45640
(740) 288-7510
(740) 288-7510
Mailing address
388 WEBB PIERCE ROAD, JACKSON, OH 45640
(740) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN301240
OH
163WC0400X
Case Management Registered Nurse
RN301240
OH
163WH1000X
Hospice Registered Nurse
RN301240
OH
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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