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Organization
JEREMY CREEKMORE, LLC
Active
Organization
JEREMY CREEKMORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY WAYNE CREEKMORE DNP, APRN, PMHNP-BC (OWNER)
(808) 398-0537
Entity
Organization
Contact information
Practice address
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
(808) 675-8888
(808) 999-7610
Mailing address
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
(808) 678-8888
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
09/02/2025
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