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

Mrs. Jenniffer Sue Ferguson, PAC

Individual provider Physician Assistant · NPI 1922029560

Mrs. Jenniffer Sue Ferguson, PAC is a Physician Assistant in Leesburg, Florida. Qualified in 2005, 21 years ago. Practices with Lake ENT and Fps, PA, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

601 E Dixie Ave Plaza 901
Leesburg, FL 34748-5998
Phone: (352) 728-2404
Fax: (352) 787-7401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9103323 (FL)

Record details

NPI number1922029560
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 23, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Lake Ent And Fps, Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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