Individual
MICHELLE R FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
RALPH H. JOHNSON VA MEDICAL CENTER, 109 BEE STREET, CHARLESTON, SC 29401-5799
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 2951752
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP2951752
FL
Other
Enumeration date
07/06/2011
Last updated
01/31/2019
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