Provider Demographics
NPI:1578653218
Name:DUNCAN, ELIZABETH J (PMHNP, FNP)
Entity Type:Individual
Prefix:PROF
First Name:ELIZABETH
Middle Name:J
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PMHNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 RANDY HENDRIX DR
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-7664
Mailing Address - Country:US
Mailing Address - Phone:662-563-9176
Mailing Address - Fax:662-563-0269
Practice Address - Street 1:120 RANDY HENDRIX DR
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-7664
Practice Address - Country:US
Practice Address - Phone:662-563-9176
Practice Address - Fax:662-563-0269
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR558141363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00113106Medicaid
MS363LP0808XOtherTAXONOMY