Individual
JESSICA EMILY HENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
95-390 KUAHELANI AVE STE J-1, MILILANI, HI 96789-1192
(808) 909-3252
(808) 909-3894
Mailing address
91-1086 KEKAIHOLO ST, EWA BEACH, HI 96706-6214
(808) 909-3252
(808) 909-3894
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-1585
HI
363A00000X
Physician Assistant
EL31989
NH
363A00000X
Physician Assistant
PA2112
ME
Other
Enumeration date
10/30/2020
Last updated
03/05/2026
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