Healthcare Provider Details

I. General information

NPI: 1255899910
Provider Name (Legal Business Name): JOYCE R NGUYEN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 W GREEN OAKS BLVD
ARLINGTON TX
76016-2796
US

IV. Provider business mailing address

3825 W GREEN OAKS BLVD
ARLINGTON TX
76016-2796
US

V. Phone/Fax

Practice location:
  • Phone: 817-653-4406
  • Fax: 817-389-6172
Mailing address:
  • Phone: 817-653-4406
  • Fax: 817-389-6172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP140732
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP140732
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: