Provider Demographics
NPI:1588255251
Name:DUNCAN, SOPHIE SHEPHERD (FNP)
Entity type:Individual
Prefix:MRS
First Name:SOPHIE
Middle Name:SHEPHERD
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 HARRIS AVE APT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2543
Mailing Address - Country:US
Mailing Address - Phone:936-689-2107
Mailing Address - Fax:
Practice Address - Street 1:716 HARRIS AVE APT B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2543
Practice Address - Country:US
Practice Address - Phone:936-689-2107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1028560207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine