Ferguson, Bethany Joy Winfrey

Ferguson, Bethany Joy Winfrey is an individual health care provider with primary practice located at 1800 N Knoxville Ave Ste A , Peoria IL 61603-3005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ferguson, Bethany Joy Winfrey can be contacted via phone (309) 680-7600.

Contact Information

Primary practice address
1800 N Knoxville Ave Ste A Peoria IL 61603-3005
Phone: (309) 680-7600
Fax: (309) 495-8614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-013059 Illinois

Profile Details

NPI number 1235505108
LBN Legal business name Ferguson, Bethany Joy Winfrey
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2015
Last updated Jul 29th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235505108 NPPES
Illinois Other 209-013059 IL APN LICENSE

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