Basic Information
Provider Information
NPI: 1922619709
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHING
FirstName: JINNY
MiddleName: GI HAE
NamePrefix: DR.
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 277 OHUA AVE
Address2:  
City: HONOLULU
State: HI
PostalCode: 968153695
CountryCode: US
TelephoneNumber: 8089224787
FaxNumber:  
Practice Location
Address1: 277 OHUA AVE
Address2:  
City: HONOLULU
State: HI
PostalCode: 968153695
CountryCode: US
TelephoneNumber: 8089224787
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/13/2020
LastUpdateDate: 08/13/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN-2987HIY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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