MR. JEREMY PHILLIP DUCKER LPC NPI 1548488711

NPI Information

NPI: 1548488711
Provider Name: MR. JEREMY PHILLIP DUCKER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1704 HIGHWAY 69 BLVD
TRUMANN, AR
ZIP 72472
Phone: (870) 483-4003
Get Directions

MR. Jeremy Phillip Ducker, LPC is a professional counselor in Trumann, AR. MR. Jeremy Phillip Ducker, LPC NPI is 1548488711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1704 HIGHWAY 69 BLVD
TRUMANN, AR
ZIP 72472-029
Phone: (870) 483-4003
Fax: (870) 483-4009

The enumeration date for this NPI number is 4/23/2007 and was last updated on 5/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	P1403027	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	173784795	MEDICAID	ARKANSAS
2	5CC47	OTHER	ARKANSAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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