Melissa Jacinto, BSN, RN

Individual provider Active NPI Registered Nurse · Hilo, HI

NPI 1538720719 · NPPES record last updated Mar 1, 2020

Key facts

NPI
1538720719
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
84487 (HI)
Practice address
891 Ululani St
Hilo, HI 96720-3982
Phone
(808) 315-4554
Fax
(808) 930-0770
NPI assigned
Jun 27, 2019
Sex
Female
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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
84487HIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 84487 HI Yes

Addresses

Primary practice location

891 Ululani St
Hilo, HI 96720-3982

Mailing address

PO Box 7618
Hilo, HI 96720-8947

Other practice location 1

337 Noelani Loop
Hilo, HI 96720-5398
Phone (808) 983-9990

Other providers in Hilo, HI

All providers in Hilo, HI · Registered Nurse in Hawaii

Sources for this page

Verify at the official NPI Registry.