Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD056213L | PA |
N | 207ND0900X | Dermatopathologist | MD056213L | PA |
NPI | 1326080011 |
---|---|
Provider Name | Jacqueline Marie Junkins Hopkins |
First Address | Danville, PA 17822-4093 |
Second Address | Danville, PA 17822-1155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 10/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0015577670005 | (05) | PA |
G16377 | (02) |