JENNY GREENLEE


Address: 5424 Edgewater Dr, Ewa Beach, HI 96706-3249
Phone: 8083129215

JENNY GREENLEE (NPI# 1154936094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154936094
Entity Type Individual
Full Name JENNY GREENLEE
Credential FNP-C
Practice Address 5424 Edgewater Dr
Ewa Beach
HI 96706-3249
Practice Telephone 8083129215
Mailing Telephone 8083129215
Enumeration Date 2020-09-08
Last Update Date 2020-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
APRN-3030 HI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5424 EDGEWATER DR
City EWA BEACH
State HI
Zip Code 96706-3249

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NPI Name Taxonomy Address Enumeration
1922625516 Alison Tolentino Technician 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 2020-06-29
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1871069849 Desiree Tricarico Nurse Practitioner 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 2018-10-17
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1427586833 Alison Mcdonald Cameron Marriage & Family Therapist 6186a Ibis Ave, Ewa Beach, HI 96706 2017-05-30
1629528567 Cindy Ann Holden Contractor 91755 B Fort Weaver Road, Ewa Beach, HI 96706 2016-10-04
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1578176830 Ruthe Klarisse Simon-umil Nurse Practitioner 91-1043 Mamaka St, Kapolei, HI 96707-2914 2020-08-26
1669964474 Donita K Valdez Nurse Practitioner 846 S Hotel St Ste 102, Honolulu, HI 96813-2583 2018-06-06
1801385463 Gayane Bejanyan Nurse Practitioner 2310 Kuhio Ave # 223, Honolulu, HI 96815-2983 2018-05-08
1598378705 Yukiko Kobayashi Goodell Nurse Practitioner 120 Ka'iulani Ave, Ka'iulani Wing 10 & 11, Honolulu, HI 96815 2020-08-26
1629602081 Paul Dana Willms Nurse Practitioner 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2020-02-25
1689223406 Lolita Echauz Ching Nurse Practitioner 94-366 Pupupani St Ste 208, Waipahu, HI 96797-2644 2019-09-04
1871149948 Anthone T Jeon Nurse Practitioner 1357 Kapiolani Blvd Ste 1460, Honolulu, HI 96814-4509 2019-08-14
1619469954 Melissa M Sutherland Nurse Practitioner 302 California Ave Ste 106, Wahiawa, HI 96786-1841 2018-06-01
1437654308 Rebecca Claire Fojas-calimpong Nurse Practitioner 277 Ohua Ave, Honolulu, HI 96815 2018-03-24
1033574116 Michelle M Soga Nurse Practitioner 82 Puuhonu Pl, Suite #820, Hilo, HI 96720-2010 2015-12-16
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Competitor

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City EWA BEACH
Zip Code 96706

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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