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Contact Information

BRENDA A JACKSON, CNM
45-602 KAMEHAMEHA HWY
KANEOHE, HI96744-2017
 Phone: 808-432-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRENDA A JACKSON · (Female)

NPI Number 1336295286
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 01/25/2007
Last updated 08/21/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • HI License # APRN-89
  • HI Medicaid 54134302
  • HI Medicaid 61565108
  • HI Other 00A0229342 HMSA BILLING NUMBER
Hospital affiliation(s) Not Available
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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