Fergon, Jolyn
Fergon, Jolyn is an individual health care provider with primary practice located at 1100 N Palm Canyon Dr Ste 212 , Palm Springs CA 92262-4426. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Fergon, Jolyn can be contacted via phone (760) 327-7900.Contact Information
Primary practice address
1100 N Palm Canyon Dr Ste 212
Palm Springs CA 92262-4426
Phone: (760) 327-7900
Fax: (760) 327-7905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | NP10593 | California |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 1727 | California |
Profile Details
NPI number | 1104934033 |
---|---|
LBN Legal business name | Fergon, Jolyn |
Credentials | N.P., C.N.M |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2006 |
Last updated | Jun 19th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104934033 | NPPES |
California | MEDICAID | GR0101241 | |
California | Other | ZZZ27958Z | |
California | MEDICAID | GR0101242 | |
California | MEDICAID | GR0101240 |
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