Provider Demographics
NPI:1417436981
Name:DUKES, ANTOINETTE (RN,BSN)
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:
Last Name:DUKES
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30618 IMPERIAL LEGENDS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3390
Mailing Address - Country:US
Mailing Address - Phone:205-427-5824
Mailing Address - Fax:
Practice Address - Street 1:30618 IMPERIAL LEGENDS DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-3390
Practice Address - Country:US
Practice Address - Phone:205-427-5824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX950785163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse