JACQUELINE GARDNER FNP
NPI 1891920567
Nurse Practitioner - Pediatrics in Hilo, HI

Active since May 23, 2009

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Gardner Fnp NPPES

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

JACQUELINE GARDNER FNP (NPI 1891920567) is an individual pediatrics provider in Hilo, Hawaii, licensed in Hawaii (APRN 17) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1891920567
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJACQUELINE GARDNERCredential: FNP
Location Address45 MOHOULI STHilo, HI 96720-7210
Mailing AddressHc 2 Box 6074Keaau, HI 96749-8300 · (808) 982-7809
Sole ProprietorYes
Enumeration DateMay 23, 2009
Last NPPES UpdateOctober 26, 2011
NPI 1891920567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in HI · APRN 17
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License AMD 59 (HI)
45 MOHOULI ST, Hilo, HI 96720

Other Providers at the Same Location NPPES 20

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

Family Medicine
45 MOHOULI ST
HILO, HI 96720
Registered Nurse (Psychiatric/Mental Health)
45 MOHOULI ST
HILO, HI 96720
Registered Nurse (General Practice)
45 MOHOULI ST
HILO, HI 96720
Registered Nurse
45 MOHOULI ST
HILO, HI 96720
Registered Nurse
45 MOHOULI ST
HILO, HI 96720
Registered Nurse (Ambulatory Care)
45 MOHOULI ST
HILO, HI 96720
Nurse Practitioner (Family)
45 MOHOULI ST
HILO, HI 96720
General Practice
45 MOHOULI ST
HILO, HI 96720

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 Jacqueline Gardner's NPI number?

The NPI number for Jacqueline Gardner is 1891920567. It was assigned to this individual provider in the NPPES registry on May 23, 2009.

Where is Jacqueline Gardner located?

Jacqueline Gardner practices at 45 Mohouli St, Hilo, HI 96720. The listed phone number is (808) 896-5569.

What is Jacqueline Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jacqueline Gardner was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.