Individual
JAMILLAH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9100 N 2ND ST STE 121, PHOENIX, AZ 85020-2457
(602) 997-7331
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP11385
AZ
Other
Enumeration date
11/10/2015
Last updated
09/27/2023
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