Individual
JESSICA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 SOUTH ST APT 1827, HONOLULU, HI 96813-5982
(740) 361-2635
Mailing address
801 SOUTH ST APT 1827, HONOLULU, HI 96813-5982
(740) 361-2635
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-4898-0
HI
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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