Healthcare Provider Details

I. General information

NPI: 1114345857
Provider Name (Legal Business Name): SHERRI DUNCAN CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W HOBBS ST
ROSWELL NM
88203-1869
US

IV. Provider business mailing address

1764 MUSES MILL RD
WALLINGFORD KY
41093-9415
US

V. Phone/Fax

Practice location:
  • Phone: 575-623-3311
  • Fax: 575-622-1273
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3008544
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberCNP-02383
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: