DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACOB NGUYEN

MEDICARE: JACOB NGUYEN
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1679249098
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB NGUYEN
Provider Business Mailing Address
First Line : 6233 W BEHREND DR APT 2016
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2201 W FAIRVIEW ST STE 9
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-4704
Country : US
Telephone Number : 480-470-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2021
Last Update Date : 10/11/2021

Similar Medicare Providers

1376302588 — KATHIA YARI JUSINO SUAREZ PA
Practice Location Address:
2201 W FAIRVIEW ST STE 9
CHANDLER, AZ
85224-4704
Practice Phone: 480-470-4000
Practice Fax:
1194071274 — ANGELA MOREHOUSE COSTE FNP-C
Practice Location Address:
2201 W FAIRVIEW ST STE 9
CHANDLER, AZ
85224-4704
Practice Phone: 480-470-4000
Practice Fax:
1538680079 — TESSA JANOVSKY PA
Practice Location Address:
2201 W FAIRVIEW ST STE 9
CHANDLER, AZ
85224-4704
Practice Phone: 480-470-4000
Practice Fax:
1669198859 — NICOLE CHRISMAN
Practice Location Address:
2201 W FAIRVIEW ST STE 9
CHANDLER, AZ
85224-4704
Practice Phone: 480-470-4000
Practice Fax:
1194437541 — RIDA NADEEM
Practice Location Address:
2201 W FAIRVIEW ST STE 9
CHANDLER, AZ
85224-4704
Practice Phone: 480-470-4000
Practice Fax:
1033965876 — DAVID RIOS
Practice Location Address:
2201 W FAIRVIEW ST STE 9
CHANDLER, AZ
85224-4704
Practice Phone: 480-470-4000
Practice Fax:

Directions to “ JACOB NGUYEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.