Provider Demographics
NPI:1063252765
Name:FRANKS, JOCELYN TABLADILLO (RN)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:TABLADILLO
Last Name:FRANKS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:MANGAOANG
Other - Last Name:TABLADILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:91-1046 HAMOULA ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-3918
Mailing Address - Country:US
Mailing Address - Phone:808-224-7261
Mailing Address - Fax:
Practice Address - Street 1:86-260 FARRINGTON HWY
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3128
Practice Address - Country:US
Practice Address - Phone:808-697-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI46468163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse