MEDICARE: VINCENT CHI NGUYEN DNP

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	363LF0000X	Family Nurse Practitioner	NP288457	GA

General Provider Information

NPI Number	:	1407204266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT CHI NGUYEN DNP

Provider Business Mailing Address
First Line	:	4897 BUFORD HWY STE 167
Second Line	:
City	:	CHAMBLEE
State	:	GA
Zip	:	30341-3670
Country	:	US
Telephone Number	:	770-872-8141
Fax Number	:	770-872-8142

Provider Business Practice Location Address
First Line	:	4897 BUFORD HWY STE 167
Second Line	:
City	:	CHAMBLEE
State	:	GA
Zip	:	30341-3670
Country	:	US
Telephone Number	:	770-872-8141
Fax Number	:	770-872-8142

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

Provider Enumeration Date	:	06/01/2016
Last Update Date	:	06/05/2026

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