Provider Demographics
NPI:1063484129
Name:HOPKINS, ALAN BRIAN (APRN)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:BRIAN
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3264 SENNETT CIR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484-3485
Mailing Address - Country:US
Mailing Address - Phone:901-268-8635
Mailing Address - Fax:901-313-0212
Practice Address - Street 1:8119 SW HIGHWAY 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-7733
Practice Address - Country:US
Practice Address - Phone:352-854-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008434363L00000X, 363LA2100X, 363L00000X
FL11008434363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113551300Medicaid
FLAPRN11008434OtherLICENSE
TN3906214Medicaid