Individual
DR. JENNIFER DUCKETT SIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 CRESCENT GRN, SUITE 120, CARY, NC 27518-8118
(919) 972-7700
Mailing address
1400 CRESCENT GRN, SUITE 120, CARY, NC 27518-8118
(910) 295-6007
(910) 215-0179
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2005-01904
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903844
—
NC
Enumeration date
08/04/2006
Last updated
07/02/2014
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