IndividualActive
Jacqueline Gardner, FNP
NPI 1891920567 · Pediatric Nurse Practitioner · Hilo, HI
Provider details
- NPI number
- 1891920567
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- AMD 59 (HI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
45 Mohouli St
Hilo, HI 96720-7210
Phone: (808) 896-5569
Approximate (ZIP-level) locationGet directions
Mailing address
Hc 2 Box 6074
Keaau, HI 96749-8300
Registry dates
- Enumerated
- 2009-05-23
- Last updated
- 2011-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.