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Individual

JULIE JENSEN-FITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4735 ALIOMANU RD, ANAHOLA, HI 96703
(630) 631-2568
Mailing address
PO BOX 137, ANAHOLA, HI 96703-0137

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRN-2518
HI
364SG0600X
Gerontology Clinical Nurse Specialist
APRN-2518
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN-2518
STATE OF HAWAII
HI
Enumeration date
04/27/2020
Last updated
04/27/2020
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