Provider Demographics
NPI:1740561083
Name:DUNCAN, JAMIE TERESA (PA)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:TERESA
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3045 DE LA VINA ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3351
Mailing Address - Country:US
Mailing Address - Phone:805-563-0363
Mailing Address - Fax:805-563-0364
Practice Address - Street 1:3045 DE LA VINA ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3351
Practice Address - Country:US
Practice Address - Phone:805-563-0363
Practice Address - Fax:805-563-0364
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA21597363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical