Provider Demographics
NPI:1295281590
Name:DUNCAN, FAITH NICHOLE (ATC)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:NICHOLE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ARKANSAS STATE SPORTS MEDICINE PO BOX 480STATE UNIVERSI
Mailing Address - Street 2:
Mailing Address - City:STATE UNIVERSITY
Mailing Address - State:AR
Mailing Address - Zip Code:72467-0480
Mailing Address - Country:US
Mailing Address - Phone:870-972-3342
Mailing Address - Fax:
Practice Address - Street 1:2105 AGGIE RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401
Practice Address - Country:US
Practice Address - Phone:870-972-3342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other