Individual
JENNIFER IBARRA NORTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(800) 214-1306
(808) 433-0397
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(800) 214-1306
(808) 433-0397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-69712
HI
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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