Doctor Name: | JANA DUNCAN |
NPI Number: | 1396162905 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 23664 |
Business Practice Address: | 13200 S. Pleasant Valley Rd Kuna, ID - 83634 |
Business Phone Number: | 2083452343 |
Business Fax Number: | |
Mailing Address: | 13200 S. Pleasant Valley Rd, KUNA |
State: | ID |
Postal Code: | 83634 |
Phone Number: | 2083452343 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2014 |
NPI Last Update Date: | 11/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 23664 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |