Duncan, Mark Edwin

Duncan, Mark Edwin is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Duncan, Mark Edwin can be contacted via phone (601) 576-2501.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 576-2501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R866350 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R866350 Mississippi

Profile Details

NPI number 1750520284
LBN Legal business name Duncan, Mark Edwin
Credentials FNP-BC, ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2009
Last updated Jun 18th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750520284 NPPES
Alabama MEDICAID 138263
Alabama Other P01454794
Alabama MEDICAID 01053866

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