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General NPI Number Information
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NPI Number | 1396528857
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Entity Type | Individual
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Provider Name | DARLESIA FERGUSON DNP, FNP-C, ENP-C
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Gender | Female
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 1412 MILSTEAD AVE NE
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City | CONYERS
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State | GA
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Zip | 30012-3877
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Country | US
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Telephone | 470-265-8191
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 OAK RIDGE WAY
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City | BUFORD
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State | GA
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Zip | 30519-4782
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Country | US
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Telephone | 470-265-8191
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP286352
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License Number State | GA
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