Provider Demographics
NPI:1083967962
Name:DUNCAN, KACY NICHOLE (FNP)
Entity type:Individual
Prefix:
First Name:KACY
Middle Name:NICHOLE
Last Name:DUNCAN
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:KACY
Other - Middle Name:
Other - Last Name:BRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37662-0009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:240 MEDICAL PARK BLVD STE 3800
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-7351
Practice Address - Country:US
Practice Address - Phone:423-990-2424
Practice Address - Fax:423-274-6360
Is Sole Proprietor?:No
Enumeration Date:2012-10-17
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily