Female

Mrs. Jean T. Ferguson PA-C

Medical Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Mrs. Jean Taylor Ferguson PA-C

NPI Number

1598060550

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/21/2011

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

9106099

Contact
Information

Purpose

Mailing
Location

Address

8075 GATE PARKWAY W
8075 GATE PARKWAY W

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32216
32216

Country

US
US

Telephone Number

(904) 296-2992
(904) 296-2992

Identifiers

Identifier

4598800

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/23/2013

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