Individual provider · Type 1 NPI

Jody Ann Main

Psychiatric/Mental Health Registered Nurse · Ewa Beach, HI

NPI number 1235360801 Active

Practice location

91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602

Call (808) 677-2525 Map

Fax (808) 677-2570

Mailing address

91-1175 Kuanoo St
Ewa Beach, HI 96706-4634

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X39439 (HI)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1235360801

Jody Ann Main's National Provider Identifier is 1235360801, issued on Jul 30, 2009. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Ewa Beach, HI. The record was last updated on Jul 30, 2009.