Individual
JESSICA MINH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9569
(504) 896-9849
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9569
(504) 896-9849
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200261.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA054864
PA STATE BOARD OF MEDICINE
PA
01
—
PA.200261.RX
LA STATE BRD OF MEDICAL EXAMINERS LICENSE
LA
Enumeration date
04/28/2009
Last updated
03/27/2012
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