Provider Demographics
NPI:1932377058
Name:NGUYEN, JESSICA M (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:NGUYEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5430 CAMPBELL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-5503
Mailing Address - Country:US
Mailing Address - Phone:410-933-9404
Mailing Address - Fax:410-933-9405
Practice Address - Street 1:25 CROSSROADS DR STE 410
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5439
Practice Address - Country:US
Practice Address - Phone:410-363-6144
Practice Address - Fax:410-363-7752
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2021-01-21
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Provider Licenses
StateLicense IDTaxonomies
MDD0073116207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology