Provider Demographics
NPI:1598472953
Name:DUNCAN, KELSEY JANAY (A-GNP-C)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:JANAY
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10002 LAVENDER LN
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-7210
Mailing Address - Country:US
Mailing Address - Phone:337-515-3330
Mailing Address - Fax:
Practice Address - Street 1:795 FISH CREEK THOROUGHFARE STE 270
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-6960
Practice Address - Country:US
Practice Address - Phone:936-272-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1098354363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health