Individual
JASMINE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
608 N DUFFY WAY, GILBERT, AZ 85233-3738
(480) 310-8098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
11135
AZ
Other
Enumeration date
06/19/2025
Last updated
07/18/2025
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