| NPI | 1831868728 |
|---|---|
| Other Name | DEANA KATELYN FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 907130) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 35041) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-03-04 |