CARISSA FERGUSON

CHARLESTON, AR
NPI1649981127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  219161)
Enumeration Date2022-12-06
Last Update Date2025-01-14
Business Address
CARISSA FERGUSON APRN
107 S LOGAN ST
CHARLESTON, AR 72933-9036
Phone number: 479-573-3120
Mailing Address
CARISSA FERGUSON APRN
PO BOX 776084
CHICAGO, IL 60677-6084
Phone number: 314-543-6979
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