Provider Demographics
NPI:1184366601
Name:HOPKINS, JODIE LYNN (APRN, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:JODIE
Middle Name:LYNN
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 REDBUD CIR
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791-4405
Mailing Address - Country:US
Mailing Address - Phone:972-971-5315
Mailing Address - Fax:
Practice Address - Street 1:415 REDBUD CIR
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791-4405
Practice Address - Country:US
Practice Address - Phone:972-971-5315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-13
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY859431163WP0808X
COC-RXN.0002355-C-RXN363LP0808X
COC-APN.0004452-C-NP363LP0808X
KS53-82128-112363LP0808X
NYF404811-01363LP0808X
TX1072457363LP0808X
TX729270163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health