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Active NPI 1891920567 Individual Practitioner Female Practitioner

Jacqueline Gardner , FNP

Nurse Practitioner - Pediatrics • Hilo, HI

Professional Overview & Biography Verified Profile Summary

Jacqueline Gardner, FNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Hilo, HI. Practice services are available at 45 MOHOULI ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45 Mohouli St

Hilo, HI 967207210

Telephone 8088965569
Associated Practice Facility / Clinic
🏢 Honolulu Vamc Facility NPI 1396791356

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Hilo, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Hilo, HI (54 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License HI APRN 17

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License HI AMD 59

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Dr. Douglas Rose , MD

Family Medicine

NPI 1003892027

Doctor of Medicine (M.D.)

Jennifer Thorpe , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1023846870

Registered Nurse

Nikki Minami , RN

Registered Nurse - General Practice

NPI 1033962055

Registered Nurse

Michelle Arnold , RN

Registered Nurse

NPI 1033967864

Registered Nurse

NPI 1073367116

Registered Nurse

James Drescher , RN

Registered Nurse - Ambulatory Care

NPI 1114771755

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2011

Registered at 45 MOHOULI ST, HILO, HI 967207210 (Tel: 8088965569)

📍
Updated Business Mailing Address October 26, 2011

Registered at HC 2 BOX 6074, KEAAU, HI 967498300 (Tel: 8089827809)

👤
Provider Name / Credentials Updated October 26, 2011

Recorded as JACQUELINE GARDNER, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2011

Physician Assistant (License #AMD 59 in HI)

🟢
Initial NPI Registration & Enumeration May 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891920567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2009
Last Update: October 26, 2011
Sole Proprietor: Yes

Mailing Address

Hc 2 Box 6074

Keaau, HI 967498300

Phone: 8089827809

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.