Provider Demographics
NPI:1932975091
Name:SESON, JOEY GAMAYON (APRN)
Entity Type:Individual
Prefix:
First Name:JOEY
Middle Name:GAMAYON
Last Name:SESON
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-533B HALEKOU RD
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-5205
Mailing Address - Country:US
Mailing Address - Phone:808-375-8886
Mailing Address - Fax:
Practice Address - Street 1:808 SHERIDAN ST STE 310
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2474
Practice Address - Country:US
Practice Address - Phone:808-375-8886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4351363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily