NPI 1124458930

Jessica Sage Blank Mendonsa, PAC

Practitioner Physician Assistant Wailuku, HI

Practice location

Address: 2120 Kaohu St, Wailuku, HI 96793-2205
Phone: (808) 377-4734
Fax: (808) 377-4734

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence AMD588 (HI)

Other Physician Assistant providers in Hawaii →

Health Educator

Other Service Providers Taxonomy 174H00000X

Other Health Educator providers in Hawaii →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1124458930
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2013
Record last updated: 27 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.