Provider Demographics
NPI:1457224586
Name:JONES, MELINDA DARCEL
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:DARCEL
Last Name:JONES
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:PO BOX 102
Mailing Address - Street 2:
Mailing Address - City:OOKALA
Mailing Address - State:HI
Mailing Address - Zip Code:96774-0102
Mailing Address - Country:US
Mailing Address - Phone:808-209-2593
Mailing Address - Fax:
Practice Address - Street 1:45-537 PLUMERIA STREET
Practice Address - Street 2:
Practice Address - City:HONOKAA
Practice Address - State:HI
Practice Address - Zip Code:96727
Practice Address - Country:US
Practice Address - Phone:808-932-4175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN76365163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse