Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN11008434 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ANP0000007063 | TN |
N | 363LP2300X | Nurse Practitioner - Primary Care | ANP0000007063 | TN |
NPI | 1063484129 |
---|---|
Provider Name | Alan Brian Hopkins |
First Address | The Villages, FL 32162-2699 |
Second Address | The Villages, FL 32159-6820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 11/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3906214 | (05) | TN |
P65398 | (02) |