Provider Demographics
NPI:1427353671
Name:DUNCAN, JAICI CAMEO (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JAICI
Middle Name:CAMEO
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JAICI
Other - Middle Name:CAMEO
Other - Last Name:WIESER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:765 S LINDSAY RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296
Mailing Address - Country:US
Mailing Address - Phone:866-389-2727
Mailing Address - Fax:
Practice Address - Street 1:765 S LINDSAY RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:602-246-2853
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily