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Individual

JANET LEANNE FERGUSSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1448
(615) 327-4304
(615) 327-7940

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
050672
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3129670
BCBS NUMBER
TN
05
3629138
TN
05
74000787
KY
Enumeration date
07/26/2005
Last updated
09/30/2010
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