Individual
JANLE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
410 ASHLEY PL, STONE MOUNTAIN, GA 30083-3385
(404) 860-7756
Mailing address
410 ASHLEY PL, STONE MOUNTAIN, GA 30083-3385
(404) 860-7756
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN080883
GA
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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