Provider Demographics
NPI:1447895743
Name:DUNCAN, AMBER LYNN (APRN)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:DUNCAN
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:LYNN
Other - Last Name:WILBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:777 NW 63RD ST STE 404
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7601
Mailing Address - Country:US
Mailing Address - Phone:405-272-6193
Mailing Address - Fax:405-272-7455
Practice Address - Street 1:700 S TELEPHONE RD STE 401
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2548
Practice Address - Country:US
Practice Address - Phone:405-793-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-10
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK111053363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health