Provider Demographics
NPI:1255113601
Name:LAHOV, JENNIFER ANNE IVANOVNA (ARNP, FNP-C, CPH)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANNE IVANOVNA
Last Name:LAHOV
Suffix:
Gender:F
Credentials:ARNP, FNP-C, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 KIHAPAI ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2444
Mailing Address - Country:US
Mailing Address - Phone:908-752-7443
Mailing Address - Fax:
Practice Address - Street 1:1845 WASP BLVD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-5007
Practice Address - Country:US
Practice Address - Phone:425-298-3588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-120641163WG0000X
WARN61207021163WM0705X
WAAP61207026363LF0000X
HIAPRN-4729363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical