Individual
MISS REGINA MAE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
502 S LEROY ST, FENTON, MI 48430-2252
(810) 835-1566
Mailing address
1707 WELCH BLVD, FLINT, MI 48504-3026
(810) 893-9853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704232564
MI
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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