Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 5424 | CA |
NPI | 1003231515 |
---|---|
Provider Name | Jennifer Lynn Hopkins |
First Address | Chico, CA 95926-3810 |
Second Address | Chico, CA 95926-3810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2014 |
Last Update Date | 21/02/2014 |