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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104934033 NPPES
California MEDICAID GR0101241
California Other ZZZ27958Z
California MEDICAID GR0101242
California MEDICAID GR0101240

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