Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 309414 | NY |
NPI | 1003464108 |
---|---|
Provider Name | Miss Jennifer Lynn Hopkins |
First Address | Binghamton, NY 13905-4246 |
Second Address | Binghamton, NY 13905-4246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2019 |
Last Update Date | 27/12/2019 |