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Individual

MS. JACQUELINE HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP, APRN RX, ATC

Contact information

Practice address
642 ULUKAHIKI ST, 304, KAILUA, HI 96734-4400
(808) 262-5060
Mailing address
642 ULUKAHIKI ST, 304, KAILUA, HI 96734-4400
(808) 262-5060

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
147718
PA
163W00000X
Registered Nurse
70895
HI
2255A2300X
Athletic Trainer
RT003342
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
1868
HI

Other

Enumeration date
05/08/2007
Last updated
08/06/2025
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