Provider Demographics
NPI:1326234097
Name:DUNCAN, BEVLIN REGENIA (DNP, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BEVLIN
Middle Name:REGENIA
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12304 CORVUS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6541
Mailing Address - Country:US
Mailing Address - Phone:609-206-2583
Mailing Address - Fax:
Practice Address - Street 1:12304 CORVUS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6541
Practice Address - Country:US
Practice Address - Phone:609-206-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00141700363LP0808X
COC-APN.0002870-C-NP363LP0808X
NC5008547363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0153061Medicaid
NJ0153061Medicaid