Provider Demographics
NPI:1528131448
Name:DUNCAN, JACQUELINE FRANCES (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:FRANCES
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1161 OAKDALE RD
Mailing Address - Street 2:
Mailing Address - City:OLD FORT
Mailing Address - State:NC
Mailing Address - Zip Code:28762-8845
Mailing Address - Country:US
Mailing Address - Phone:828-442-6345
Mailing Address - Fax:
Practice Address - Street 1:1633 SUGAR HILL RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-5239
Practice Address - Country:US
Practice Address - Phone:828-652-7776
Practice Address - Fax:828-659-3582
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102352363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2759735Medicare ID - Type Unspecified
NCS42331Medicare UPIN