Provider Demographics
NPI:1558041608
Name:DUNCAN, AMY LEE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LEE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 REED AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40214-2748
Mailing Address - Country:US
Mailing Address - Phone:502-758-7326
Mailing Address - Fax:
Practice Address - Street 1:1345 CORYDON RAMSEY RD NW STE 101
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2270
Practice Address - Country:US
Practice Address - Phone:812-269-8577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INC2-53147101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)