Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chante Nicole Ferguson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568074151

Chante Nicole Ferguson is a Nurse Practitioner in Taylorsville, Mississippi. Qualified in 2017, 9 years ago. Practices with Petal Urgent Care LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2020
Specialties on file
2

Practice location Address checks out

403 Pine St
Taylorsville, MS 39168-5659
Phone: (601) 452-7080
Fax: (601) 452-7083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 894623 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568074151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 17, 2020
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing address403 Pine St, Taylorsville, MS 39168-5659

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Petal Urgent Care Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Taylorsville