Most Relevant Information
Provider Data
| NPI Number: | 1003698432 |
| Provider Name: | SAMUEL JIUN JUNG FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN-4291 |
Most Important Dates
| Enumeration Date: | 10/19/2023 |
| Last Updated: | 10/19/2023 |
Provider Practice Location
1670 MAKALOA ST STE 201A
HONOLULU
HI
968143232
Practice Location Phone/Fax
| Phone: | 8087729673 |
| Fax: |
Provider Mailing Location
1670 MAKALOA ST STE 201A
HONOLULU
HI
968143232
Provider Mailing Phone/Fax
| Phone: | 8087729673 |
| Fax: |