| Dr Jeremy Wayne Creekmore, DNP, APRN, PMHNP-BC | |
|
98-1247 Kaahumanu St Ste 106, Aiea, HI 96701-5310 | |
| (808) 675-8888 | |
| (808) 999-7610 |
| Full Name | Dr Jeremy Wayne Creekmore |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 98-1247 Kaahumanu St Ste 106, Aiea, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194164293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN-75611 (Hawaii) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN-2678 (Hawaii) | Primary |
| Entity Name | Jeremy Creekmore Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881212348 PECOS PAC ID: 0840709218 Enrollment ID: O20250605001906 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Wayne Creekmore, DNP, APRN, PMHNP-BC 98-1247 Kaahumanu St Ste 106, Aiea, HI 96701-5310 Ph: (808) 675-8888 | Dr Jeremy Wayne Creekmore, DNP, APRN, PMHNP-BC 98-1247 Kaahumanu St Ste 106, Aiea, HI 96701-5310 Ph: (808) 675-8888 |
Jenina Joyce Pascua Pali, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98-1079 Moanalua Rd Ste 350, Aiea, HI 96701 Phone: 808-207-9355 | |
Charlotte Nakanishi Yuen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99-902 Moanalva Road, Halawa Correctional Facility, Aiea, HI 96701 Phone: 808-484-5426 Fax: 808-484-6955 | |
Dr. Seiichi Nakamura, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 98-1005 Moanalua Rd, Aiea, HI 96701 Phone: 808-488-0958 | |
Kristina Marie Virata Halloran, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 Phone: 808-487-7938 | |
Tiffany Takushi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 98-1005 Moanalua Rd, #400, Aiea, HI 96701 Phone: 866-389-2727 | |
Jeanne Nicole Marie Robertson-leong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98-023 Hekaha St Ste 207, Aiea, HI 96701 Phone: 808-620-8998 | |
Mrs. Marianela Ruiz Jacob, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 98-025 Hekaha St Ste 4, Bldg 4, Aiea, HI 96701 Phone: 808-488-9449 |