Provider Demographics
NPI:1952064412
Name:JOPP, LINDSAY M (APNP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:JOPP
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:JANE
Other - Last Name:MULHOLLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APNP, FNP-C
Mailing Address - Street 1:5800 W LAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-4021
Mailing Address - Country:US
Mailing Address - Phone:262-532-3067
Mailing Address - Fax:
Practice Address - Street 1:5800 W LAYTON AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4021
Practice Address - Country:US
Practice Address - Phone:262-532-3067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-20
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10512-33363LF0000X
WI10512363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100192584Medicaid