Individual provider · Type 1 NPI

Jacqueline Lynette De la Garza, FNP-C

Family Nurse Practitioner · Kamuela, HI

NPI number 1063111391 Active

Practice location

67-1123 Mamalahoa Hwy Ste 120124
Kamuela, HI 96743-8451

Call (808) 881-4710 Map

Mailing address

General Delivery
Volcano, HI 96785-9999

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN-106817 (HI)
Family Nurse Practitioner Primary 363LF0000XAPRN-3777 (HI)

Family Nurse Practitioner: Definition to come...

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About NPI 1063111391

Jacqueline Lynette De la Garza, FNP-C's National Provider Identifier is 1063111391, issued on Feb 27, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kamuela, HI. The record was last updated on Jul 2, 2024.