Jacqueline Lynette De La Garza, FNP-C | |
73 Ponahawai St Ste 104, Hilo, HI 96720 | |
(808) 935-6353 | |
Not Available |
Full Name | Jacqueline Lynette De La Garza |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 73 Ponahawai St Ste 104, Hilo, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063111391 | NPI | - | NPPES |
RN-106817 | Other | HI | HI RN LICENSURE |
APRN-3777 | Other | HI | APRN LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN-106817 (Hawaii) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN-3777 (Hawaii) | Primary |
Entity Name | Queen's North Hawaii Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528049814 PECOS PAC ID: 0143116293 Enrollment ID: O20040225000562 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Lynette De La Garza, FNP-C General Delivery, Volcano, HI 96785-9999 Ph: (808) 430-0654 | Jacqueline Lynette De La Garza, FNP-C 73 Ponahawai St Ste 104, Hilo, HI 96720 Ph: (808) 935-6353 |
Frances Romero Hussian, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 W. Kawili St, Campus Center Rm 212, Hilo, HI 96720 Phone: 808-932-7369 Fax: 808-932-7368 | |
Joyce Margaret Norris-taylor, DNP, APRN-RX, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 W Kawili St, Hilo, HI 96720 Phone: 808-932-7063 | |
Mrs. Michelle Momoe Ojiri, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Ponohawai St, Ste. 101, Hilo, HI 96720 Phone: 808-885-3627 Fax: 808-969-3852 | |
Ms. Kelly Leialoha Luscomb, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Pauahi St Ste 101, Hilo, HI 96720 Phone: 808-531-7222 | |
Tracy Elizabeth Thornett, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Aupuni St Ste 108, Hilo, HI 96720 Phone: 808-968-0877 | |
Melissa Leilani Garnett, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 891 Ululani St, Hilo, HI 96720 Phone: 808-930-0777 | |
Ms. Tammy Lee Wheeler, APRN-RX Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 Kekaulike St, Hilo, HI 96720 Phone: 808-959-3513 |