KELLY LYNN FERGUSON

GRAPEVINE, TX
NPI1174247217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: TX  2022012572)
Enumeration Date2022-10-03
Last Update Date2022-10-03
Business Address
KELLY LYNN FERGUSON AGACNP
2020 W STATE HIGHWAY 114 STE 200
GRAPEVINE, TX 76051-8648
Phone number: 817-912-8400
Mailing Address
KELLY LYNN FERGUSON AGACNP
2020 W STATE HIGHWAY 114 STE 200
GRAPEVINE, TX 76051-8648
Phone number: 817-912-8400
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