IndividualActive
Jody Main
NPI 1235360801 · Psychiatric/Mental Health Registered Nurse · Ewa Beach, HI
Provider details
- NPI number
- 1235360801
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 39439 (HI)
Specialties & taxonomies
Nursing Service Providers
Practice location
91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602
Phone: (808) 677-2525
Fax: (808) 677-2570
Approximate (ZIP-level) locationGet directions
Mailing address
91-1175 Kuanoo St
Ewa Beach, HI 96706-4634
Registry dates
- Enumerated
- 2009-07-30
- Last updated
- 2009-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.