Provider Demographics
NPI:1508586314
Name:ESPINUEVA, JOVIELYN BARAZAN (BSN)
Entity Type:Individual
Prefix:MISS
First Name:JOVIELYN
Middle Name:BARAZAN
Last Name:ESPINUEVA
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 AULD LN
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-3419
Mailing Address - Country:US
Mailing Address - Phone:808-741-5999
Mailing Address - Fax:
Practice Address - Street 1:1226 AULD LN
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3419
Practice Address - Country:US
Practice Address - Phone:808-741-5999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health