Individual
JESSICA BROUS FERGASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12200 W 106TH ST STE 230, OVERLAND PARK, KS 66215-2305
(913) 948-9636
Mailing address
5100 W 66TH ST, PRAIRIE VILLAGE, KS 66208-1453
(913) 481-5584
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
TMP-161467
KS
Other
Enumeration date
02/24/2023
Last updated
02/27/2023
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