Individual provider · Type 1 NPI
Jacquelyn Dan-Phung Nguyen, PA-C
Surgical Physician Assistant · Oreland, PA
NPI number
1912513987
Active
Practice location
2103 Lantern Ln
Oreland, PA 19075-2513
Fax (901) 373-0804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4276 (TN) |
| Surgical Physician Assistant Primary | 363AS0400X | 4276 (TN) |
Surgical Physician Assistant: Definition to come...
About NPI 1912513987
Jacquelyn Dan-Phung Nguyen, PA-C's National Provider Identifier is 1912513987, issued on Sep 16, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oreland, PA. The record was last updated on Mar 6, 2023.