Individual
JEROME NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(480) 420-4027
Mailing address
2362 W BINNER DR, CHANDLER, AZ 85224-4106
(507) 993-7679
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
329962
AZ
390200000X
Student in an Organized Health Care Education/Training Program
329962
AZ
Other
Enumeration date
11/06/2025
Last updated
03/19/2026
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