Individual
JESSE JAVIER CHUN PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1360 S BERETANIA ST STE 500, HONOLULU, HI 96814-1520
(808) 210-4444
Mailing address
1750 KALAKAUA AVE APT 2107, HONOLULU, HI 96826-3743
(253) 306-0522
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN-4310-0
HI
363LG0600X
Gerontology Nurse Practitioner
APRN-4310-0
HI
363LP2300X
Primary Care Nurse Practitioner
APRN-4310-0
HI
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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