Healthcare Provider Details

I. General information

NPI: 1780588764
Provider Name (Legal Business Name): JANA SARAH-MARIE FERGUSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 HOSPITAL DR
CAMDEN TN
38320-1619
US

IV. Provider business mailing address

225 HOSPITAL DR
CAMDEN TN
38320-1619
US

V. Phone/Fax

Practice location:
  • Phone: 731-584-4944
  • Fax: 731-584-8831
Mailing address:
  • Phone: 731-584-4944
  • Fax: 731-584-8831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number285010
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: