John H Davis II, LPN

Individual provider Active NPI Licensed Practical Nurse · Tamc, HI

NPI 1033100201 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1033100201
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
15334 (HI)
Practice address
1 Jarrett White Rd
Tamc, HI 96859-5001
Phone
(808) 433-6661
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
15334HIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 15334 HI Yes

Addresses

Primary practice location

1 Jarrett White Rd
Tamc, HI 96859-5001

Mailing address

2547 Kekuanoni St
Honolulu, HI 96813-1120
Phone (228) 249-2786

Other providers in Tamc, HI

All providers in Tamc, HI · Licensed Practical Nurse in Hawaii

Sources for this page

Verify at the official NPI Registry.