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1659900629 NPI number — JILL TONNER MD

NPI Number: 1659900629
Health Care Provider/Practitioner: JILL TONNER MD

Information about “1659900629” NPI (JILL TONNER MD) exists in 1659900629 in HTML format HTML  |  1659900629 in plain Text format TXT  |  1659900629 in PDF (Portable Document Format) PDF  |  1659900629 in an XML format XML  formats.

NPI Number : 1659900629 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659900629",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TONNER",
    "FirstName": "JILL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KANNEY",
    "OtherFirstName": "JILL",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1356 LUSITANA ST FL 4",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HONOLULU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96813-2409",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-691-1000",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1356 LUSITANA ST FL 4",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96813-2409",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-691-1000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/02/2020",
    "LastUpdateDate": "04/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": "261371",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2086S0102X",
          "TaxonomyName": "Surgical Critical Care Physician",
          "LicenseNumber": "MD-25390-0",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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