Individual provider · Type 1 NPI

Mattie Ferguson

Licensed Practical Nurse · Indianapolis, IN

NPI number 1831385954 Active

Practice location

8060 Knue Rd Ste 110
Indianapolis, IN 46250-1938

Call (317) 842-7435 Map

Mailing address

8708 Pemberton Cir
Indianapolis, IN 46260-6851

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27057655A (IN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1831385954

Mattie Ferguson's National Provider Identifier is 1831385954, issued on Sep 21, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 21, 2007.