Individual
JENNIFER LEE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
502 MORTON AVE, RIDLEY PARK, PA 19078-3306
(610) 809-4936
Mailing address
502 MORTON AVE, RIDLEY PARK, PA 19078-3306
(610) 809-4936
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026776
PA
Other
Enumeration date
01/02/2023
Last updated
08/20/2024
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