Provider Demographics
NPI:1972889269
Name:TAKEBAYASHI, JANE JP (APRN)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:JP
Last Name:TAKEBAYASHI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:JP
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:44-705 ALAKAI ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96844
Mailing Address - Country:US
Mailing Address - Phone:808-235-5537
Mailing Address - Fax:
Practice Address - Street 1:2228 LILIHA ST STE 200
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1652
Practice Address - Country:US
Practice Address - Phone:808-533-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1359363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health