Provider Demographics
NPI:1942017660
Name:FERRIS, ALLI JO
Entity type:Individual
Prefix:
First Name:ALLI
Middle Name:JO
Last Name:FERRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTRAL WYOMING COLLEGE
Mailing Address - Street 2:2660 PEAK AVE
Mailing Address - City:RIVERTON
Mailing Address - State:WY
Mailing Address - Zip Code:82501
Mailing Address - Country:US
Mailing Address - Phone:307-855-2000
Mailing Address - Fax:
Practice Address - Street 1:CENTRAL WYOMING COLLEGE
Practice Address - Street 2:2660 PEAK AVE
Practice Address - City:RIVERTON
Practice Address - State:WY
Practice Address - Zip Code:82501
Practice Address - Country:US
Practice Address - Phone:307-855-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program