Individual
MRS. DIJANA DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2416 REGENCY RD, LEXINGTON, KY 40503-2954
(859) 278-1316
(859) 276-3847
Mailing address
PO BOX 737100, CHICAGO, IL 60673-6374
(317) 706-7246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008192
KY
363LF0000X
Family Nurse Practitioner
Primary
3008192
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100274880
—
KY
Enumeration date
08/13/2013
Last updated
07/20/2026
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