MEDICARE: LAURA E FERGUSON FNP

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
1	363LF0000X	Family Nurse Practitioner	AP09839	LA

General Provider Information

NPI Number	:	1316435316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA E FERGUSON FNP

Provider Business Mailing Address
First Line	:	18553 OAKLAND CROSSING BLVD
Second Line	:
City	:	PRAIRIEVILLE
State	:	LA
Zip	:	70769-3874
Country	:	US
Telephone Number	:	337-794-0023
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 3RD ST
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70801-1308
Country	:	US
Telephone Number	:	225-366-6396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2018
Last Update Date	:	09/01/2020

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Directions to “ LAURA E FERGUSON FNP” Practice Location

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