JESSE JAVIER CHUN PALACIOS NP NPI 1104688415

NPI Information

  • NPI: 1104688415
  • Provider Name: JESSE JAVIER CHUN PALACIOS, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1360 S BERETANIA ST STE 500
    HONOLULU, HI
    ZIP 96814
  • Phone: (808) 210-4444

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NPI Details

Jesse Javier Chun Palacios, NP is an adult health nurse practitioner in Honolulu, HI with 2 years of experience. Jesse Javier Chun Palacios, NP NPI is 1104688415. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1360 S BERETANIA ST STE 500
HONOLULU, HI
ZIP 96814-520
Phone: (808) 210-4444

The NPI 1104688415 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2024 and was last updated on 1/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyAPRN-4310-0HAWAIINo
2363LP2300XNurse PractitionerPrimary CareAPRN-4310-0HAWAIINo
3363LA2200XNurse PractitionerAdult HealthAPRN-4310-0HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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