Provider Demographics
NPI:1558043570
Name:MAGNUSON, DUYEN JUNE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DUYEN
Middle Name:JUNE
Last Name:MAGNUSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-6439
Mailing Address - Country:US
Mailing Address - Phone:945-328-4256
Mailing Address - Fax:
Practice Address - Street 1:2510 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6439
Practice Address - Country:US
Practice Address - Phone:945-328-4256
Practice Address - Fax:469-519-2480
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130356363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner