| Doctor Name: | MRS. TAMMI L FERGUSON |
| NPI Number: | 1023066057 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | APN6811 |
| Business Practice Address: | 1700 W Market St Suite J Bolivar, TN - 380081653 |
| Business Phone Number: | 7316525772 |
| Business Fax Number: | 7316581981 |
| Mailing Address: | 116 W Main St, HENDERSON |
| State: | TN |
| Postal Code: | 383402231 |
| Phone Number: | 7319890001 |
| Fax Number: | 7319895151 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 04/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN6811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |