Provider Demographics
NPI:1134845993
Name:LERNER, JENNIFER PENN (APRN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:PENN
Last Name:LERNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47-387 LULANI ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4716
Mailing Address - Country:US
Mailing Address - Phone:808-227-8903
Mailing Address - Fax:
Practice Address - Street 1:47-387 LULANI ST
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-4716
Practice Address - Country:US
Practice Address - Phone:808-227-8903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3821-0363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care