Provider Demographics
NPI:1902268394
Name:DUNCAN, EMMA CAROLINE (APN)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:CAROLINE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2043 N MOHAWK ST
Mailing Address - Street 2:UNIT 1S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4565
Mailing Address - Country:US
Mailing Address - Phone:312-208-4829
Mailing Address - Fax:
Practice Address - Street 1:ST. JOHN'S REGIONAL MEDICAL CENTER - 1600 N ROSE AVENUE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030
Practice Address - Country:US
Practice Address - Phone:000-000-0000
Practice Address - Fax:805-485-3025
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.013732363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95011709OtherNP LICENSE