Gardner, Jacqueline

Gardner, Jacqueline is an sole proprietor health care provider with primary practice located at 45 Mohouli St , Hilo HI 96720-7210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gardner, Jacqueline can be contacted via phone (808) 896-5569.

Contact Information

Primary practice address
45 Mohouli St Hilo HI 96720-7210
Phone: (808) 896-5569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AMD 59 Hawaii
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN 17 Hawaii

Profile Details

NPI number 1891920567
LBN Legal business name Gardner, Jacqueline
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2009
Last updated Oct 26th, 2011 - about 14 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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