Basic Information
| Provider Information | |||||||||
| NPI: | 1316383243 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHENKEL | ||||||||
| FirstName: | NASTASSIA | ||||||||
| MiddleName: | JENNAE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | DUKE PRIMARY CARE PICKETT ROAD | ||||||||
| Address2: | 3004 TOWER BLVD | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27707 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | DUKE PRIMARY CARE PICKETT ROAD | ||||||||
| Address2: | 3004 TOWER BLVD | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9194909800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2013 | ||||||||
| LastUpdateDate: | 04/15/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2017-01421 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.