| Carissa Ferguson, APRN | |
| 
					107 S Logan St, Charleston, AR 72933-9036  | |
| (479) 573-3120 | |
| (479) 965-2008 | 
| Full Name | Carissa Ferguson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 107 S Logan St, Charleston, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649981127 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 219161 (Arkansas) | Primary | 
| Entity Name | Mercy Hospital Waldron | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730137134 PECOS PAC ID: 5597658005 Enrollment ID: O20040211000825  | 
| Entity Name | Mercy Clinic Fort Smith Communities | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789  | 
| Entity Name | Mercy Hospital Paris | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518915321 PECOS PAC ID: 0244135705 Enrollment ID: O20090402000673  | 
| Entity Name | Mercy Hospital Booneville | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083004733 PECOS PAC ID: 1951530385 Enrollment ID: O20170203001490  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carissa Ferguson, APRN Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 543-6979  | Carissa Ferguson, APRN 107 S Logan St, Charleston, AR 72933-9036 Ph: (479) 573-3120  | 
Mr. Robert Jack Langston, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120  | |
Mrs. Melea Mccormick, SANE-A/P, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120  | |
Tania Kay Barham, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Main St, Charleston, AR 72933 Phone: 479-208-1880  | |
Joann Michele Cain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120 Fax: 479-965-2008  | |
Richard Scott Savage, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120 Fax: 479-965-2008  | |
Timbi D West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 E Main Street, Charleston, AR 72933 Phone: 479-965-7702 Fax: 479-965-2180  | |
Michelle Davis, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 Tiger Dr, Charleston, AR 72933 Phone: 479-965-0806 Fax: 479-965-0807  |