Provider Demographics
NPI:1942747266
Name:DUKE, MAGGIE EMERSON (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MAGGIE
Middle Name:EMERSON
Last Name:DUKE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 OAKLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-5716
Mailing Address - Country:US
Mailing Address - Phone:228-875-3778
Mailing Address - Fax:228-875-9335
Practice Address - Street 1:1124 OAKLEIGH RD
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5716
Practice Address - Country:US
Practice Address - Phone:228-875-3778
Practice Address - Fax:228-875-9335
Is Sole Proprietor?:No
Enumeration Date:2017-01-24
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS901866363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily