Provider Demographics
NPI:1003019407
Name:DUNCAN-MORIN, JENNIFER LEE (RN, MBA, CCM)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LEE
Last Name:DUNCAN-MORIN
Suffix:
Gender:F
Credentials:RN, MBA, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8128 KINGSDALE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7005
Mailing Address - Country:US
Mailing Address - Phone:865-679-7520
Mailing Address - Fax:
Practice Address - Street 1:8128 KINGSDALE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-7005
Practice Address - Country:US
Practice Address - Phone:865-679-7520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN166505163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management