Healthcare Provider Details

I. General information

NPI: 1992624068
Provider Name (Legal Business Name): JESSICA DUNCAN DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 DRESDEN DR
MORRIS IL
60450-2476
US

IV. Provider business mailing address

2983 N 4201ST RD
SHERIDAN IL
60551-9517
US

V. Phone/Fax

Practice location:
  • Phone: 815-942-5200
  • Fax:
Mailing address:
  • Phone: 630-706-0369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209035371
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: