Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Nguyen Lam, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1104438654

Jennifer Nguyen Lam, AGPCNP is a Nurse Practitioner in Honolulu, Hawaii. Qualified in 2020, 6 years ago. Practices with Queens University Medical Group, a 623-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
6
Licensed in
HI
In the registry since
2020
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Practice location Address checks out

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone: (808) 258-0084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 99-009 Kalaloa St Apt A1307, Aiea, HI 96701-3824 — (808) 258-0084

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN-3001 (HI)

Record details

NPI number1104438654
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Honolulu