Individual
TIMOTHY EDWARD JACKINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1441 ALA MOANA BLVD STE 1600, HONOLULU, HI 96814
(808) 432-7600
Mailing address
1441 ALA MOANA BLVD, HONOLULU, HI 96814
(808) 432-7600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
CA452024
CA
363L00000X
Nurse Practitioner
Primary
CANP16793
CA
Other
Enumeration date
01/25/2007
Last updated
06/09/2021
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