Provider Demographics
NPI:1760204002
Name:TROWBRIDGE, JILL ANNA
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:ANNA
Last Name:TROWBRIDGE
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 1:1003A KALUANUI RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1322
Mailing Address - Country:US
Mailing Address - Phone:808-371-7103
Mailing Address - Fax:
Practice Address - Street 1:1003A KALUANUI RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1322
Practice Address - Country:US
Practice Address - Phone:808-371-7103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula