Individual
MR. MARK EDWIN DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, ACNP-BC
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 576-2501
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 576-2501
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R866350
MS
363LF0000X
Family Nurse Practitioner
Primary
R866350
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01053866
—
MS
05
—
138263
—
AL
01
—
P01454794
RAILROAD MEDICARE PTAN
MS
Enumeration date
02/05/2009
Last updated
06/18/2015
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