Healthcare Provider Details

I. General information

NPI: 1730877408
Provider Name (Legal Business Name): YOON JUNG CHANG DNP, FNP-BC, APRN-RX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 OHUA AVE
HONOLULU HI
96815-3695
US

IV. Provider business mailing address

277 OHUA AVE
HONOLULU HI
96815-3695
US

V. Phone/Fax

Practice location:
  • Phone: 808-922-4787
  • Fax: 808-922-4950
Mailing address:
  • Phone: 808-922-4787
  • Fax: 808-922-4950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-3887
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61439945
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: