Provider Demographics
NPI:1972836328
Name:FIKKAN, JANNA LINN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANNA
Middle Name:LINN
Last Name:FIKKAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DUKE INTEGRATIVE MEDICINE
Mailing Address - Street 2:DUMC BOX 102904
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-660-6672
Mailing Address - Fax:
Practice Address - Street 1:DUKE INTEGRATIVE MEDICINE
Practice Address - Street 2:DUMC BOX 102904
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-660-6672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3829103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical