Individual provider · Type 1 NPI

Jacqueline C. Desa-Shishido, LPN

Licensed Practical Nurse · Pahoa, HI

NPI number 1114298569 Active

Practice location

15-2866 Pahoa Village Rd, Bldg E.
Pahoa, HI 96778-7720

Fax (808) 965-2240

Mailing address

1250 Punchbowl St, Rm 256
Honolulu, HI 96813-2416

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X9065 (HI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

8 other providers at this address

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About NPI 1114298569

Jacqueline C. Desa-Shishido, LPN's National Provider Identifier is 1114298569, issued on Jan 17, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pahoa, HI. The record was last updated on Jan 17, 2012.