Provider Demographics
NPI:1336881200
Name:ZIELINSKI, JENNIFER KAREN (APRN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KAREN
Last Name:ZIELINSKI
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 1:450D KAWAINUI ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-5621
Mailing Address - Country:US
Mailing Address - Phone:719-425-7805
Mailing Address - Fax:
Practice Address - Street 1:1790 PAAILUNA WAY
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-1409
Practice Address - Country:US
Practice Address - Phone:808-466-9113
Practice Address - Fax:808-427-3131
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-3620-0207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine