Provider Demographics
NPI:1639664220
Name:DUNCAN, JORDANN-MISHAEL (MD)
Entity type:Individual
Prefix:
First Name:JORDANN-MISHAEL
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE NW # 1700C
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-4164
Mailing Address - Fax:202-865-7407
Practice Address - Street 1:2041 GEORGIA AVE NW STE 1700C
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-5452
Practice Address - Country:US
Practice Address - Phone:202-865-4164
Practice Address - Fax:202-865-7407
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT216566207V00000X
AZ65895207VF0040X
DCMD600001639207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery