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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JARED FERGUSON

Active Sole Proprietor

JARED FERGUSON is a Nutritionist healthcare provider located in NORTH WALES, Pennsylvania. NPI 1790299022 is currently active in the NPPES registry. Verify at CMS.

Nutritionist · NORTH WALES, PA

Registration Details

NPI Number
1790299022
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2017 (8.7523318562974 yrs)
Last Updated
Nov 22, 2017
License
DN0063 (PA)
Sole Proprietor
Yes

Practice Information

Address
1304 MORRIS CT
NORTH WALES, PA, 194541050
Browse PA providers · Browse ZIP 19454
Phone
2675466659
Primary Specialty
Nutritionist
133N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.