Provider Demographics
NPI:1184211773
Name:JANG, HEE YUN (APRN)
Entity Type:Individual
Prefix:
First Name:HEE YUN
Middle Name:
Last Name:JANG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2228 LILIHA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1652
Mailing Address - Country:US
Mailing Address - Phone:808-533-3130
Mailing Address - Fax:808-533-3140
Practice Address - Street 1:2228 LILIHA ST STE 200
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1652
Practice Address - Country:US
Practice Address - Phone:808-533-3130
Practice Address - Fax:808-533-3140
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3096363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health