| NPI | 1265728836 |
|---|---|
| Former Name | JAYNE GRAY FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP120886) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-02-17 |