Provider Demographics
NPI:1003795576
Name:PALI, JENINA JOYCE PASCUA
Entity type:Individual
Prefix:
First Name:JENINA JOYCE
Middle Name:PASCUA
Last Name:PALI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99-239 HAILIMANU PL
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2924
Mailing Address - Country:US
Mailing Address - Phone:808-276-8511
Mailing Address - Fax:
Practice Address - Street 1:98-1079 MOANALUA RD STE 350
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4714
Practice Address - Country:US
Practice Address - Phone:808-207-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5360363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily