Provider Demographics
NPI:1932509155
Name:CHAPMAN, JAINE KATHARINE HOOPES (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:JAINE
Middle Name:KATHARINE HOOPES
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JAINE
Other - Middle Name:KATHARINE
Other - Last Name:HOOPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2534 N SPURGEON ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-1731
Mailing Address - Country:US
Mailing Address - Phone:619-991-0915
Mailing Address - Fax:
Practice Address - Street 1:2534 N SPURGEON ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-1731
Practice Address - Country:US
Practice Address - Phone:619-991-0915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000199367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered