Provider Demographics
NPI:1427552470
Name:HASHIMOTO, JENNIFER K (APRN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:K
Last Name:HASHIMOTO
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 1:65-1267 KAWAIHAE RD
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-7345
Mailing Address - Country:US
Mailing Address - Phone:808-881-4745
Mailing Address - Fax:808-881-4785
Practice Address - Street 1:65-1267 KAWAIHAE RD
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-7345
Practice Address - Country:US
Practice Address - Phone:808-881-4745
Practice Address - Fax:808-881-4785
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-2410207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine