Provider Demographics
NPI:1508441767
Name:FERDON, ALLISON STANFORD (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:STANFORD
Last Name:FERDON
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-7963
Mailing Address - Country:US
Mailing Address - Phone:843-314-1314
Mailing Address - Fax:843-314-1308
Practice Address - Street 1:64 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-7963
Practice Address - Country:US
Practice Address - Phone:843-314-1314
Practice Address - Fax:843-314-1308
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily