Healthcare Provider Details
I. General information
NPI: 1639158181
Provider Name (Legal Business Name): JENNIFER EMMA FRANK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 01/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1380 LUSITANA ST SUITE 904
HONOLULU HI
96813-2449
US
IV. Provider business mailing address
1380 LUSITANA ST SUITE 904
HONOLULU HI
96813-2449
US
V. Phone/Fax
- Phone: 808-599-8800
- Fax: 808-599-8801
- Phone: 808-599-8800
- Fax: 808-599-8801
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 4734 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | 4734 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: