Individual
JACOB NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 W FAIRVIEW ST STE 9, CHANDLER, AZ 85224-4704
(480) 470-4000
Mailing address
2201 W FAIRVIEW ST STE 9, CHANDLER, AZ 85224-4704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
02/06/2026
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