Provider Demographics
NPI:1023440195
Name:DUNCAN, JESSICA W (FNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:W
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 CHESTNUT HILL SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:DANDRIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37725-7238
Mailing Address - Country:US
Mailing Address - Phone:865-509-6611
Mailing Address - Fax:865-509-8811
Practice Address - Street 1:3222 CHESTNUT HILL SCHOOL RD
Practice Address - Street 2:
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725-7238
Practice Address - Country:US
Practice Address - Phone:865-509-6611
Practice Address - Fax:865-509-8811
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN135380163W00000X
TN17827363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse