Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QS0010X | Family Doctor - Sports Medicine | 0101258613 | VA |
Y | 207QS0010X | Family Doctor - Sports Medicine | 20479 | NH |
N | 207QS0010X | Family Doctor - Sports Medicine | MD451226 | PA |
NPI | 1124312137 |
---|---|
Provider Name | Jennifer Lynn Hopp |
First Address | Dover, NH 03820-2526 |
Second Address | Portsmouth, NH 03801-2847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 18/05/2020 |