Provider Demographics
NPI:1417409954
Name:ARNOLD, JEANNE (NP)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 ALA MOANA BLVD APT 1906
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1639
Mailing Address - Country:US
Mailing Address - Phone:559-805-1052
Mailing Address - Fax:
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 505
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4403
Practice Address - Country:US
Practice Address - Phone:808-596-4800
Practice Address - Fax:808-596-4802
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3310-0363L00000X
CA95005351363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI3317-0OtherAPRN LICENSE
CA95005351OtherLICENSE