JENNAE MARIE PORTER PA-C
NPI 1811177231
Physician Assistant - Medical in Haleiwa, HI

Active since November 14, 2007
59-016 HOLAWA ST, HALEIWA, HI 96712(808) 754-9037 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jennae Marie Porter Pa-c NPPES

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

JENNAE MARIE PORTER PA-C (NPI 1811177231) is an individual medical provider in Haleiwa, Hawaii, licensed in Hawaii (AMD-1050) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1811177231
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNAE MARIE PORTERCredential: PA-C
Location Address59-016 HOLAWA STHaleiwa, HI 96712
Mailing Address59-016 Holawa StHaleiwa, HI 96712 · (808) 754-9037
Sole ProprietorNo
Enumeration DateNovember 14, 2007
Last NPPES UpdateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
NPI 1811177231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in HI · AMD-1050 Licensed in AZ · 3739
59-016 HOLAWA ST, Haleiwa, HI 96712

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 Jennae Porter's NPI number?

The NPI number for Jennae Porter is 1811177231. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Jennae Porter located?

Jennae Porter practices at 59-016 Holawa St, Haleiwa, HI 96712. The listed phone number is (808) 754-9037.

What is Jennae Porter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jennae Porter was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.