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NPI Code Detail

MEDICARE: NANCY CAROL GRASS-FERGUSON N.P.

MEDICARE: NANCY CAROL GRASS-FERGUSON N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN042281 AP01440LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023074671
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY CAROL GRASS-FERGUSON N.P.
Provider Business Mailing Address
First Line : PO BOX 12248
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71315-2248
Country : US
Telephone Number : 318-880-8828
Fax Number : 318-484-4800
Provider Business Practice Location Address
First Line : 44 VERSAILLES BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3960
Country : US
Telephone Number : 318-201-5307
Fax Number : 318-484-4800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2006
Last Update Date : 10/29/2019

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