MS. JACKIE LEE DUNCAN (NPI# 1740431998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740431998 |
| Entity Type | Individual |
| Full Name | MS. JACKIE LEE DUNCAN |
| Practice Address |
1110 Eldon Baker Dr Flint MI 48507-1923 |
| Practice Telephone | 8102322766 |
| Mailing Telephone | 8102322766 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704170920 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326274721 | Jackie M Duncan | Technician | 3444 Kabel Dr, New Orleans, LA 70131-6926 | 2009-06-01 |
| Street Address |
1110 ELDON BAKER DR |
| City | FLINT |
| State | MI |
| Zip Code | 48507-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821033515 | Cassandra L Coney-stewart | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2006-06-18 |
| 1376142042 | Britny Madison Childers | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-10-22 |
| 1124634100 | Amber Minando | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-09-16 |
| 1215545470 | Danielle Elizabeth Hack | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-14 |
| 1649898610 | Amber Lynn Mcmillin | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-07-07 |
| 1255954517 | Paul Kilgore | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-21 |
| 1720600968 | Daniel Nacker | Specialist | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-05-11 |
| 1043850100 | Martell Lee | Case Manager/Care Coordinator | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2020-01-07 |
| 1386286862 | Kelly Sue Sheppard | Social Worker | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-16 |
| 1437790359 | Eugene Mahon | Counselor | 1110 Eldon Baker Dr, Flint, MI 48507-1923 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551047 | Stella I Osuagwu | Nurse Practitioner | 5300 Meadow Ct, Flint, TX 75762-9713 | 2020-09-01 |
| 1679609002 | Kandice K. Andrews | Nurse Practitioner | 420 W Fifth Avenue, Flint, MI 48503-5902 | 2007-02-27 |
| 1861400376 | Marjorie Lee Ferguson | Nurse Practitioner | Va Flint Healthcare System, G-3267 Beecher Rd, Flint, MI 48532 | 2006-08-03 |
| 1992321830 | Brittany Radler | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-16 |
| 1033473749 | Jon Russell Krueger | Nurse Practitioner | 420 W 5th Ave, Flint, MI 48503-2445 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.