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
280 PASADENA DR, LEXINGTON, KY 40503-2925
(859) 278-1316
(859) 276-3847
Taxonomy
Speciality
Code
Description
License number
State
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
03/29/2018
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