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TIMOTHY EDWARD JACKINSKY NURSE PRACTITIONER
NPI 1528114519
Nurse Practitioner in Honolulu, HI

Active since January 25, 2007
1441 ALA MOANA BLVD STE 1600, HONOLULU, HI 96814(808) 432-7600 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Edward Jackinsky Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY EDWARD JACKINSKY NURSE PRACTITIONER (NPI 1528114519) is an individual nurse practitioner in Honolulu, Hawaii, licensed in California (CANP16793) and active in the NPI registry since January 2007. He maintains a secondary practice location in Ft Bragg.

NPPES Registry Identity

NPI1528114519
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTIMOTHY EDWARD JACKINSKYCredential: NURSE PRACTITIONER
Location Address1441 ALA MOANA BLVD STE 1600Honolulu, HI 96814
Mailing Address1441 Ala Moana BlvdHonolulu, HI 96814 · (808) 432-7600
Phone(808) 432-7600
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJune 9, 2021
NPPES CertifiedJune 9, 2021
✔ NPI 1528114519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · CANP16793
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License CA452024 (CA)
1441 ALA MOANA BLVD STE 1600, Honolulu, HI 96814
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Secondary Practice Location 1

Location 1790 S Franklin, BFt Bragg, CA 95437 · Phone (707) 964-4747 · Fax (707) 962-2698

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAROLD EUGENE GREY LCSW
Social Worker (Clinical)
1441 ALA MOANA BLVD STE 1600
HONOLULU, HI 96814
Honolulu County (808) 432-7600
COLLEEN NOBLES LCSW
Social Worker (Clinical)
1441 ALA MOANA BLVD STE 1600
HONOLULU, HI 96814
Honolulu County (808) 432-7600
LYNN YAMADA LSW
Social Worker (Clinical)
1441 ALA MOANA BLVD STE 1600
HONOLULU, HI 96814
Honolulu County (808) 432-7600
MIMI ANNE LIND LCSW
Social Worker (Clinical)
1441 ALA MOANA BLVD STE 1600
HONOLULU, HI 96814
Honolulu County (808) 432-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Jackinsky's NPI number?

The NPI number for Timothy Jackinsky is 1528114519. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Timothy Jackinsky located?

Timothy Jackinsky practices at 1441 Ala Moana Blvd Ste 1600, Honolulu, HI 96814. The listed phone number is (808) 432-7600.

What is Timothy Jackinsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Timothy Jackinsky was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.