NPI
Jacqueline C Desa-Shishido
NPI 1114298569
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- LPN
- Type
- Individual
- Enumeration date
- 2012-01-17
- Last updated
- 2012-01-17
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Specialties
Licenses
- License HI
- 9065
Location
- Practice location
- 15-2866 Pahoa Village Rd, Bldg E.
- City
- Pahoa HI
- Postal code
- 96778-7720
- Phone
- (808) 965-2241
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Pahoa, HI. 202 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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