Provider Demographics
NPI:1922882273
Name:AVRIL JENKINS APRN LLC
Entity Type:Organization
Organization Name:AVRIL JENKINS APRN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AVRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:808-470-6220
Mailing Address - Street 1:1429 MAKIKI ST STE 2022
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1358
Mailing Address - Country:US
Mailing Address - Phone:808-470-6220
Mailing Address - Fax:808-470-9388
Practice Address - Street 1:1429 MAKIKI ST STE 2022
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1358
Practice Address - Country:US
Practice Address - Phone:808-470-6220
Practice Address - Fax:808-470-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty