Skip to main content
IndividualActive

Jacqueline C Desa-Shishido

LPN

Licensed Practical Nurse

NPI: 1114298569Pahoa, Hawaii, 96778(808) 965-2241Female

About Jacqueline C Desa-Shishido

Jacqueline C Desa-Shishido, LPN, is a female healthcare professional specializing in Licensed Practical Nurse, registered under National Provider Identifier (NPI) number 1114298569. Their primary practice is located at 15-2866 PAHOA VILLAGE RD, Pahoa, Hawaii 96778.

Patients can reach the office at (808) 965-2241. Jacqueline C Desa-Shishido has been NPI-registered since 2012.

Doctor Details

Identity & Credentials

NPI Number
1114298569
Entity Type
Individual
First Name
Jacqueline
Last Name
Desa-Shishido
Credential
LPN
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
15-2866 PAHOA VILLAGE RD
City
Pahoa
State
Hawaii
ZIP
96778-7720
Country
United States
Phone
(808) 965-2241
Fax
(808) 965-2240

Specialty & Taxonomy

Primary Specialty
Licensed Practical Nurse
Classification
Licensed Practical Nurse
Taxonomy Code
164W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1250 PUNCHBOWL ST
City
HONOLULU
State
HI
ZIP
968132416

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Jacqueline C Desa-Shishido's NPI number?
Jacqueline C Desa-Shishido's National Provider Identifier (NPI) is 1114298569. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jacqueline C Desa-Shishido specialize in?
Jacqueline C Desa-Shishido specializes in Licensed Practical Nurse.
Where is Jacqueline C Desa-Shishido located?
Jacqueline C Desa-Shishido practices at 15-2866 PAHOA VILLAGE RD, Pahoa, Hawaii 96778. You can reach them by phone at (808) 965-2241.
Does Jacqueline C Desa-Shishido accept Medicare?
Based on available data, Jacqueline C Desa-Shishido is not currently enrolled in the Medicare program.
Does Jacqueline C Desa-Shishido offer telehealth or virtual visits?
Jacqueline C Desa-Shishido does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jacqueline C Desa-Shishido is 1114298569.