IndividualActive
Jonathan Russo, RN
NPI 1790647360 · Registered Nurse · Kaunakakai, HI
Provider details
- NPI number
- 1790647360
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN121387 (HI)
Specialties & taxonomies
Nursing Service Providers
Practice location
280 Home Olu Pl.
Kaunakakai, HI 96748
Phone: (808) 553-5331
Approximate (ZIP-level) locationGet directions
Mailing address
41 Flax Isle Dr
Little Egg Harbor Twp, NJ 08087-2316
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.