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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNAE MARIE PORTER, PA-C

Active

JENNAE MARIE PORTER, PA-C is a Medical Physician Assistant healthcare provider located in HALEIWA, Hawaii. NPI 1811177231 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · HALEIWA, HI

Registration Details

NPI Number
1811177231
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2007 (18.789288629751 yrs)
Last Updated
Aug 22, 2023
Licenses
3739 (AZ)
AMD-1050 (HI)

Practice Information

Address
59-016 HOLAWA ST
HALEIWA, HI, 96712
Browse HI providers · Browse ZIP 96712
Phone
8087549037
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.