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Individual

MS. JANET FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M.

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209-002760
IL
367A00000X
Advanced Practice Midwife
Primary
209002760
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036074744-4
IL
Enumeration date
07/26/2006
Last updated
08/09/2021
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