Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Chan Nguyen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316257314

Stephanie Chan Nguyen is a Physician Assistant in Burleson, Texas. Qualified in 2010, 16 years ago. Practices with Prestige Dermatology PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

621 SW Johnson Ave Ste C
Burleson, TX 76028-5834
Phone: (817) 766-7421
Fax: (817) 447-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA06983 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316257314
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2010
Last updated in NPPESJuly 12, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Prestige Dermatology Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Burleson