Individual
JESSICA LYNN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7979 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2042
(317) 621-4300
(317) 621-4301
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28197716A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009196A
IN
363LF0000X
Family Nurse Practitioner
Primary
F05190357
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300032908
—
IN
Enumeration date
01/19/2019
Last updated
02/18/2026
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