MEDICARE: MALCOLM DUNCAN MSN, RN, PMHNP

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	661686	TX

General Provider Information

NPI Number	:	1033691746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALCOLM DUNCAN MSN, RN, PMHNP

Provider Business Mailing Address
First Line	:	7005 MIRA LOMA LN STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1411
Country	:	US
Telephone Number	:	512-795-4344
Fax Number	:

Provider Business Practice Location Address
First Line	:	7005 MIRA LOMA LN STE 101
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1411
Country	:	US
Telephone Number	:	512-300-2455
Fax Number	:

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

Provider Enumeration Date	:	08/30/2018
Last Update Date	:	01/12/2026

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