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NPI Code Detail

MEDICARE: DR. CHELSEA LEAH FERGUSON DNP, FNP-C

MEDICARE: DR. CHELSEA LEAH FERGUSON DNP, FNP-C
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
1363LF0000XFamily Nurse Practitioner5019109NC
2363L00000XNurse Practitioner5019109NC

General Provider Information

NPI Number : 1053184648
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHELSEA LEAH FERGUSON DNP, FNP-C
Provider Business Mailing Address
First Line : 901 DOW RD N
Second Line :
City : CAROLINA BEACH
State : NC
Zip : 28428-4141
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 501 OLDE WATERFORD WAY
Second Line :
City : LELAND
State : NC
Zip : 28451-4117
Country : US
Telephone Number : 910-408-1130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2023
Last Update Date : 01/02/2026

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