Healthcare Provider Details

I. General information

NPI: 1972836328
Provider Name (Legal Business Name): JANNA LINN FIKKAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2009
Last Update Date: 09/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUKE INTEGRATIVE MEDICINE DUMC BOX 102904
DURHAM NC
27710-0001
US

IV. Provider business mailing address

DUKE INTEGRATIVE MEDICINE DUMC BOX 102904
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-660-6672
  • Fax:
Mailing address:
  • Phone: 919-660-6672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3829
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: