National Provider Identifier Database

AMANDA S FERGUSON FNP INC
Family


Contact Information

AMANDA S. FERGUSON FNP INC
2415 N GATEWAY AVE
HARRIMAN, TN37748-8609
Phone: 865-882-2002
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for AMANDA S. FERGUSON FNP INC

NPI Number 1649598343
Legal business name
LBN
AMANDA S. FERGUSON FNP INC
Authorized official AMANDA FERGUSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/06/2010
Last updated 02/22/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 14952

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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