Healthcare Provider Details

I. General information

NPI: 1992623748
Provider Name (Legal Business Name): MRS. JOLEYNE NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOLEYNE HERRING

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N PRESTON RD
PROSPER TX
75078-9826
US

IV. Provider business mailing address

521 CHRISTIE XING
CELINA TX
75009-3336
US

V. Phone/Fax

Practice location:
  • Phone: 945-277-1048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT25499135
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: