Provider Demographics
NPI:1558757419
Name:NGUYEN, JENNY NHU (MD)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:NHU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 N 11TH ST STE P3200
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1518
Mailing Address - Country:US
Mailing Address - Phone:409-899-4111
Mailing Address - Fax:409-899-5670
Practice Address - Street 1:755 N 11TH ST STE P3200
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1518
Practice Address - Country:US
Practice Address - Phone:409-899-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304290208800000X
TXT2696208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology