Individual
JANE ELIZABETH DUFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
190 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6946
(336) 277-2200
(336) 277-2210
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-2200
(336) 277-2210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000900402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003508
—
NC
01
—
P00291218
RR MEDICARE
—
Enumeration date
06/27/2006
Last updated
02/27/2025
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