Individual
JESSICA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3606 21ST ST STE 200, LUBBOCK, TX 79410-1225
(806) 725-1720
(806) 723-7689
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-7800
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05475
TX
Other
Enumeration date
12/12/2007
Last updated
07/10/2008
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