Individual
MR. MATTHEW D JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-RX, PMHNP-BC
Contact information
Practice address
4210 HANAHAO PL STE 202, LIHUE, HI 96766-9036
(808) 855-5775
Mailing address
4144 AIKEPA ST, LIHUE, HI 96766-8131
(808) 855-5775
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-3780
HI
Other
Enumeration date
09/14/2022
Last updated
10/12/2022
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