MEDICARE: MRS. BEVLIN REGENIA DUNCAN DNP, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	C-APN.0002870-C-NP	CO
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5008547	NC
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ00141700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326234097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BEVLIN REGENIA DUNCAN DNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	12304 CORVUS RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-6541
Country	:	US
Telephone Number	:	609-206-2583
Fax Number	:

Provider Business Practice Location Address
First Line	:	12304 CORVUS RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-6541
Country	:	US
Telephone Number	:	609-206-2583
Fax Number	:	252-522-9154

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2007
Last Update Date	:	04/08/2026

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