Jacqueline Yvonne Chacon ANP

NPI 1023376779 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1023376779
Gender Female
Enumeration Date 05/01/2012
Last Updated 07/12/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
91-896 MAKULE RD
SUITE 102
EWA BEACH HI, 96706-2543, US
Phone (808) 689-4414
Fax (808) 689-7115
Business Location
91-896 MAKULE RD
SUITE 102
EWA BEACH HI, 96706-2543, US
Phone (808) 689-4414
Fax (808) 689-7115
Toxanomy
Taxonomy Code 363LF0000X
License State Hawaii
License Number 1370
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According to our database, Mrs. Jacqueline Yvonne Chacon ANP NPI is 1023376779, taxonomy code is 363LF0000X and license number is 1370, license state is located at Hawaii. Jacqueline Yvonne Chacon ANP physically located at 91-896 Makule Rd, Ewa Beach HI, 96706-2543. NPI Number Jacqueline Yvonne Chacon ANP has the Individual type.

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1023376779 NPI number is provided on an as is basis without warranty of any kind. 1023376779 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Yvonne Chacon ANP are for informational purposes only.