Provider Demographics
NPI:1083010383
Name:HOPEWELL FAMILY CARE- INTEGRATIVE MEDICINE
Entity Type:Organization
Organization Name:HOPEWELL FAMILY CARE- INTEGRATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JAIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-440-0654
Mailing Address - Street 1:401 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-2417
Mailing Address - Country:US
Mailing Address - Phone:615-993-3633
Mailing Address - Fax:615-246-2719
Practice Address - Street 1:401 CENTER ST
Practice Address - Street 2:
Practice Address - City:OLD HICKORY
Practice Address - State:TN
Practice Address - Zip Code:37138-2417
Practice Address - Country:US
Practice Address - Phone:615-993-3633
Practice Address - Fax:615-246-2719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19232261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care