Provider Demographics
NPI:1710458195
Name:HOPKINS AHEARN, CAITLYN (PA-C)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:
Last Name:HOPKINS AHEARN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 NEW SALEM HWY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-5253
Mailing Address - Country:US
Mailing Address - Phone:615-410-9360
Mailing Address - Fax:
Practice Address - Street 1:2723 NEW SALEM HWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-5253
Practice Address - Country:US
Practice Address - Phone:615-410-9360
Practice Address - Fax:833-944-2291
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601008924363A00000X
TN4584363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant