Provider Demographics
NPI:1326417031
Name:PARKER, AVRIL (APRN)
Entity Type:Individual
Prefix:
First Name:AVRIL
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:AVRIL
Other - Middle Name:ELISE
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1429 MAKIKI ST STE 2022
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1358
Mailing Address - Country:US
Mailing Address - Phone:808-470-6220
Mailing Address - Fax:808-470-9388
Practice Address - Street 1:1429 MAKIKI ST STE 2022
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1358
Practice Address - Country:US
Practice Address - Phone:808-470-6220
Practice Address - Fax:808-470-9388
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1732363LP2300X, 363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty