Individual
NICOLE MONIQUE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 ROSEMONT DR, HATTIESBURG, MS 39402-8816
(769) 223-5288
Mailing address
24 ROSEMONT DR, HATTIESBURG, MS 39402-8816
(769) 223-5288
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MS
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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