Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 206356 | LA |
N | 111NI0900X | Internist | 206356 | LA |
Y | 207RI0200X | Infectious Disease | 206356 | LA |
NPI | 1093033458 |
---|---|
Provider Name | Jamie F. Nguyen |
First Address | Marrero, LA 70072-3147 |
Second Address | Marrero, LA 70072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2010 |
Last Update Date | 22/09/2021 |