Provider Demographics
NPI:1982667267
Name:HOPKINS, PATTY J (FNP)
Entity Type:Individual
Prefix:MS
First Name:PATTY
Middle Name:J
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:PATTY
Other - Middle Name:JO
Other - Last Name:ROUSH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:GRASS LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49240-0246
Mailing Address - Country:US
Mailing Address - Phone:517-522-8403
Mailing Address - Fax:517-522-4275
Practice Address - Street 1:12337 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:GRASS LAKE
Practice Address - State:MI
Practice Address - Zip Code:49240-9213
Practice Address - Country:US
Practice Address - Phone:517-522-8403
Practice Address - Fax:517-522-4275
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704150527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily