Ferguson, Ashley

Ferguson, Ashley is an individual health care provider with primary practice located at 2502 E Empire St , Bloomington IL 61704-3738. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ferguson, Ashley can be contacted via phone (217) 366-4407.

Contact Information

Primary practice address
2502 E Empire St Bloomington IL 61704-3738
Phone: (217) 366-4407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 209.016909 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 277002498 Illinois

Profile Details

NPI number 1629586946
LBN Legal business name Ferguson, Ashley
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2018
Last updated Apr 30th, 2024 - about 7 months 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 1629586946 NPPES
Illinois Other 209.016909 ILLINOIS LICENSE

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