Provider Demographics
NPI:1568756237
Name:HOPKINS, COLLEEN WRIGHT (NP)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:WRIGHT
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:COLLEEN
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1030 MATHESON WAY
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5514
Mailing Address - Country:US
Mailing Address - Phone:404-601-1276
Mailing Address - Fax:
Practice Address - Street 1:1030 MATHESON WAY
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-5514
Practice Address - Country:US
Practice Address - Phone:404-601-1276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT358619-3102163W00000X
CA590969163W00000X
CO205609163WC0200X
CA20738363LF0000X
ID57901363LF0000X
MT159373363LF0000X
NV825513363LF0000X
WY45695363LF0000X
CO990426363LF0000X
UT358619-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO29124778Medicaid
CO29124778Medicaid