MEDICARE: JUSTIN ATKINS DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN-95366	HI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN-5266	HI

General Provider Information

NPI Number	:	1841825973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN ATKINS DNP

Provider Business Mailing Address
First Line	:	4348 WAIALAE AVE # 741
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-5767
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4211 WAIALAE AVE STE 208
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-5312
Country	:	US
Telephone Number	:	808-888-5228
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2020
Last Update Date	:	04/10/2026

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