Provider Demographics
NPI:1639158181
Name:FRANK, JENNIFER EMMA (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:EMMA
Last Name:FRANK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1380 LUSITANA ST
Mailing Address - Street 2:SUITE 904
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2449
Mailing Address - Country:US
Mailing Address - Phone:808-599-8800
Mailing Address - Fax:808-599-8801
Practice Address - Street 1:1380 LUSITANA ST
Practice Address - Street 2:SUITE 904
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2449
Practice Address - Country:US
Practice Address - Phone:808-599-8800
Practice Address - Fax:808-599-8801
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI4734207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HID36321Medicare UPIN