Individual
DR. JEREMY WAYNE CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC
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) 675-8888
(808) 999-7610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-75611
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-2678
HI
Other
Enumeration date
06/21/2013
Last updated
01/10/2025
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