Creekmore, Jeremy Wayne

Creekmore, Jeremy Wayne is an individual health care provider with primary practice located at 1314 S King St Ste 953 , Honolulu HI 96814-1944. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Creekmore, Jeremy Wayne can be contacted via phone (808) 675-8888.

Contact Information

Primary practice address
1314 S King St Ste 953 Honolulu HI 96814-1944
Phone: (808) 675-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN-2678 Hawaii
Nursing Service Providers / Registered Nurse 163W00000X RN-75611 Hawaii

Profile Details

NPI number 1194164293
LBN Legal business name Creekmore, Jeremy Wayne
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2013
Last updated Oct 26th, 2023 - about 2 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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