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1124691639
NIKITA JACKSON FERGINS
SHREVEPORT, LA
NPI
1124691639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 220856)
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
NIKITA JACKSON FERGINS FNP-C
2727 HEARNE AVE STE 301
SHREVEPORT, LA 71103-3918
Phone number: 318-631-6400
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Mailing Address
NIKITA JACKSON FERGINS FNP-C
9516 CASTLEBROOK DR
SHREVEPORT, LA 71129-4810
Phone number: 318-422-3995
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