IndividualActive
Brett Ferguson
NPI 1053897215 · Adult Health Nurse Practitioner · Jennings, MO
Provider details
- NPI number
- 1053897215
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2009032382 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8033 W Florissant Ave Ste a
Jennings, MO 63136-1412
Phone: (314) 888-0971
Fax: (314) 408-7062
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 740019
Atlanta, GA 30374-0019
Additional practice locations (1)
- 2727 Highway KBonne Terre, MO 63628-3430Phone: (573) 358-5516Fax: (573) 358-0917
Registry dates
- Enumerated
- 2018-07-11
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.