Provider Demographics
NPI:1124750278
Name:DUNCAN, CARLY LYNDELL
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:LYNDELL
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:LYNDELL
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:307 N WILLIAM BARNETT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4061
Mailing Address - Country:US
Mailing Address - Phone:281-592-2224
Mailing Address - Fax:281-592-2225
Practice Address - Street 1:11 WOODLAND PARK DR
Practice Address - Street 2:
Practice Address - City:SHEPHERD
Practice Address - State:TX
Practice Address - Zip Code:77371-6495
Practice Address - Country:US
Practice Address - Phone:936-628-1100
Practice Address - Fax:936-628-1188
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1085983363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty