Provider Demographics
NPI:1790552305
Name:CHOPLIN, JODI MICHELE (NP)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:MICHELE
Last Name:CHOPLIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 POWELL ST APT 53
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1562
Mailing Address - Country:US
Mailing Address - Phone:415-589-1945
Mailing Address - Fax:
Practice Address - Street 1:1000 POWELL ST APT 53
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1562
Practice Address - Country:US
Practice Address - Phone:415-589-1945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028017363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily