Provider Demographics
NPI:1548370604
Name:CARNEY, JENNIFER F (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:F
Last Name:CARNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:B
Other - Last Name:FU-DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3288 MOANALUA RD
Mailing Address - Street 2:HAWAII PERMANENTE MEDICAL GROUP
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1469
Mailing Address - Country:US
Mailing Address - Phone:808-432-8587
Mailing Address - Fax:808-432-8590
Practice Address - Street 1:3288 MOANALUA RD
Practice Address - Street 2:HAWAII PERMANENTE MEDICAL GROUP
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1469
Practice Address - Country:US
Practice Address - Phone:808-432-8587
Practice Address - Fax:808-432-8590
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD12449207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00C0242051OtherHMSA BILLING NUMBER
HI538936-04Medicaid
HIH102468Medicare PIN