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-- JACQUELINE GARDNER -- FNP

Individual Provider (NPI-1) Active

Nurse Practitioner, Pediatrics

Provider Information

NPI Number
1891920567
Provider Type
Individual Provider (NPI-1)
Credentials
FNP
Status
Active

Contact & Location

Address
45 MOHOULI ST, HILO, HI, 967207210
Phone
(808) 896-5569

Specialties & Taxonomies

Physician Assistant, Medical License: HI #AMD 59
Nurse Practitioner, Pediatrics Primary License: HI #APRN 17

All Addresses

LOCATION

45 MOHOULI ST

HILO, HI, 967207210

(808) 896-5569

MAILING

HC 2 BOX 6074

KEAAU, HI, 967498300

(808) 982-7809