Individual
NANCY ELLEN DUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8485
(865) 541-8727
Mailing address
PO BOX 15010, KNOXVILLE, TN 37901-5010
(865) 541-8485
(865) 541-8727
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
26798
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3022049
BCBS BLUECARE TENNCARESEL
TN
05
—
3096262
—
TN
05
—
64922768
—
KY
Enumeration date
08/11/2006
Last updated
07/08/2007
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