Provider Demographics
NPI:1285108662
Name:DUNCAN, SARA A (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:A
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:CARRIERE
Mailing Address - State:MS
Mailing Address - Zip Code:39426
Mailing Address - Country:US
Mailing Address - Phone:601-799-4777
Mailing Address - Fax:
Practice Address - Street 1:200 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:CARRIERE
Practice Address - State:MS
Practice Address - Zip Code:39426
Practice Address - Country:US
Practice Address - Phone:601-799-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSDUNC-E59EIY207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine