National Provider Identifier Database

JACKIELYN BAUTISTA
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

JACKIELYN BAUTISTA
91-843 HANAKAHI ST
EWA BEACH, HI96706
Phone: 808-256-4379
Fax:
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for JACKIELYN BAUTISTA

NPI Number 1265988513
Credentials
Entity Individual
Enumeration date 08/28/2016
Last updated 08/28/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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