Provider Demographics
NPI:1396162905
Name:DUNCAN, JANA (ANP)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 N ARMSTRONG PL
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-0825
Mailing Address - Country:US
Mailing Address - Phone:208-327-7400
Mailing Address - Fax:208-327-8579
Practice Address - Street 1:707 N ARMSTRONG PL
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-0825
Practice Address - Country:US
Practice Address - Phone:208-327-7400
Practice Address - Fax:208-327-8579
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23664363LA2200X
IDNP1374A363LA2200X
IDNP-1374A363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDNP1374AOtherIDAHO BOARD OF NURSING
IDCS34965OtherIDAHO BOARD OF PHARMACY
2013015609OtherANCC BOARD
IDMD3163881OtherDEA