Joy J Ferguson, RN
Individual provider Active NPI Registered Nurse · Adelphi, OH
NPI 1861698045 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1861698045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 433394 (OH)
- Practice address
- 11727 Gay St # 482
Adelphi, OH 43101-2508 - Phone
- (740) 412-4137
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 433394 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 125475 | OH | |
| Registered Nurse | 163W00000X | 433394 | OH | Yes |
Addresses
Primary practice location
11727 Gay St # 482
Adelphi, OH 43101-2508
Mailing address
PO Box 482
Adelphi, OH 43101-0482
Phone (740) 412-4137
Other providers in Adelphi, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.