Provider Demographics
NPI:1083400899
Name:NGUYEN, JASMINE DIEMMY
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:DIEMMY
Last Name:NGUYEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5104 NORMANDY DR
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-8107
Mailing Address - Country:US
Mailing Address - Phone:614-795-7426
Mailing Address - Fax:
Practice Address - Street 1:5104 NORMANDY DR
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021-8107
Practice Address - Country:US
Practice Address - Phone:614-795-7426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.531681208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics