Provider Demographics
NPI:1659731693
Name:MURAKAMI, JESSICA MICHIE (MA)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MICHIE
Last Name:MURAKAMI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2327 HALEKOA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-1037
Mailing Address - Country:US
Mailing Address - Phone:808-561-3923
Mailing Address - Fax:
Practice Address - Street 1:2327 HALEKOA DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-1037
Practice Address - Country:US
Practice Address - Phone:808-561-3923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program