Individual
LEE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
2892 SOUTH LAMAR BLVD, OXFORD, MS 38655
(662) 234-7441
Mailing address
PO BOX 2519, TUPELO, MS 38803-2519
(662) 620-6800
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R881965
MS
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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