Individual
STEPHANIE RENNA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE AIDE
Contact information
Practice address
6498 GOLD DRIVE, BATTLEBORO, NC 27809
(252) 384-3006
Mailing address
6498 GOLD DRIVE, BATTLEBORO, NC 27809
(252) 384-3006
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
425491
NC
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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