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Individual

MICHEALA MARIE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
143 S DENTON TAP RD STE 180, COPPELL, TX 75019-3375
(469) 564-1119
(512) 782-9316
Mailing address
143 S DENTON TAP RD STE 180, COPPELL, TX 75019-3375
(469) 564-1119
(512) 782-9316

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1066573
TX
363L00000X
Nurse Practitioner
CNP261342
ME
363LP2300X
Primary Care Nurse Practitioner
10039685
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/01/2021
Last updated
05/14/2026
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