Most Relevant Information
Provider Data
| NPI Number: | 1003336454 |
| Provider Name: | TOWANA FERGUSON |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 221223 |
Most Important Dates
| Enumeration Date: | 06/26/2017 |
| Last Updated: | 08/16/2022 |
Provider Practice Location
32 CROTHERS DR
TALLULAH
LA
712825510
Practice Location Phone/Fax
| Phone: | 3185748111 |
| Fax: | 3184346023 |
Provider Mailing Location
1918 RICHARD DR
MONROE
LA
712014524
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |