Provider Demographics
NPI:1114685484
Name:HOPKINS, VAN NGUYEN (A-GNP-C)
Entity Type:Individual
Prefix:
First Name:VAN
Middle Name:NGUYEN
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:A-GNP-C
Other - Prefix:
Other - First Name:VAN
Other - Middle Name:NGUYEN
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:A-GNP-C
Mailing Address - Street 1:6254 WANDERING WAY
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-4971
Mailing Address - Country:US
Mailing Address - Phone:678-662-6916
Mailing Address - Fax:
Practice Address - Street 1:1365 CLIFTON RD NE BLDG C
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-03
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GARN297718363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program