# JEANIE NGUYEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194436717
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN290029 | GA | — |
| 363L00000X | Nurse Practitioner | 11041036 | FL | — |
| 363L00000X | Nurse Practitioner | 1197270 | TX | — |
| 363L00000X | Nurse Practitioner | 290029 | GA | Yes |
| 363L00000X | Nurse Practitioner | 29987 | SC | — |

## Other

- **Enumeration date:** 12/06/2022
- **Last updated:** 08/05/2026