Provider Demographics
NPI:1952971822
Name:FERGUSON, ALYSON (APRN-FNP-C)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:F
Credentials: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 1:2611 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2960
Mailing Address - Country:US
Mailing Address - Phone:402-423-4200
Mailing Address - Fax:402-423-4201
Practice Address - Street 1:2611 S 70TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2960
Practice Address - Country:US
Practice Address - Phone:402-423-4200
Practice Address - Fax:402-423-4201
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113651363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily