Individual
JENNIFER HUYNH FANTROY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1215
(623) 242-1231
Mailing address
PO BOX 18892, BELFAST, ME 04915-4083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26394
AZ
163W00000X
Registered Nurse
RN61087160
WA
363L00000X
Nurse Practitioner
AP61088873
WA
363LF0000X
Family Nurse Practitioner
Primary
RNP26394
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952922395
—
WA
Enumeration date
04/27/2020
Last updated
01/28/2026
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