Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

THANH NGUYEN PA
NPI 1497680276
Physician Assistant - Medical in Jacksonville, FL

Active since June 15, 2026
5602 LUELLA ST, JACKSONVILLE, FL 32207(904) 572-5303 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thanh Nguyen Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THANH NGUYEN PA (NPI 1497680276) is an individual medical provider in Jacksonville, Florida and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1497680276
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHANH NGUYENCredential: PA
Location Address5602 LUELLA STJacksonville, FL 32207-5920
Mailing Address5602 Luella StJacksonville, FL 32207-5920
Sole ProprietorYes
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1497680276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
5602 LUELLA ST, Jacksonville, FL 32207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thanh Nguyen's NPI number?

The NPI number for Thanh Nguyen is 1497680276. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Thanh Nguyen located?

Thanh Nguyen practices at 5602 Luella St, Jacksonville, FL 32207. The listed phone number is (904) 572-5303.

What is Thanh Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Thanh Nguyen was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.