Provider Demographics
NPI:1689862856
Name:JINBO, ANNE KINUYO (CPNP, CWOCN)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:KINUYO
Last Name:JINBO
Suffix:
Gender:F
Credentials:CPNP, CWOCN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:420 KUWILI ST
Mailing Address - Street 2:STE 103
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5050
Mailing Address - Country:US
Mailing Address - Phone:808-392-5459
Mailing Address - Fax:808-791-6982
Practice Address - Street 1:420 KUWILI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5050
Practice Address - Country:US
Practice Address - Phone:808-392-5459
Practice Address - Fax:808-791-6982
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIAPRN 151363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics