Chacon, Jacqueline Yvonne

Chacon, Jacqueline Yvonne is an individual health care provider with primary practice located at 91-896 Makule Rd Suite 102, Ewa Beach HI 96706-2543. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chacon, Jacqueline Yvonne can be contacted via phone (808) 689-4414.

Contact Information

Primary practice address
91-896 Makule Rd Suite 102 Ewa Beach HI 96706-2543
Phone: (808) 689-4414
Fax: (808) 689-7115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1370 Hawaii

Profile Details

NPI number 1023376779
LBN Legal business name Chacon, Jacqueline Yvonne
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2012
Last updated Oct 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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