Individual
KRYSTA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
207 SANDY LN, WAXAHACHIE, TX 75165-6208
(469) 494-1224
Mailing address
207 SANDY LN, WAXAHACHIE, TX 75165-6208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
940780
TX
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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