Provider Demographics
NPI:1154549210
Name:VELO, JENNIFER MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIE
Last Name:VELO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44-116 KEAALAU PL
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2531
Mailing Address - Country:US
Mailing Address - Phone:830-446-1229
Mailing Address - Fax:
Practice Address - Street 1:1357 KAPIOLANI BLVD STE 915
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4538
Practice Address - Country:US
Practice Address - Phone:808-951-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2022-04-13
Deactivation Date:2022-03-22
Deactivation Code:
Reactivation Date:2022-04-07
Provider Licenses
StateLicense IDTaxonomies
HIRN-103382163W00000X
CARN95239440163W00000X
TX225800000X
TX977497163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist