Provider Demographics
NPI:1962249920
Name:NAONE, JENNIE
Entity type:Individual
Prefix:
First Name:JENNIE
Middle Name:
Last Name:NAONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2888 ALAILIMA STREET
Mailing Address - Street 2:2706
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-5220
Mailing Address - Country:US
Mailing Address - Phone:808-439-1800
Mailing Address - Fax:
Practice Address - Street 1:2888 ALAILIMA STREET
Practice Address - Street 2:2706
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-5220
Practice Address - Country:US
Practice Address - Phone:808-439-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILSW-1893104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker