Provider Demographics
NPI:1205602687
Name:HOPKINS, NICOLE (IP)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:IP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 WOODGATE BLVD APT 204
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-2541
Mailing Address - Country:US
Mailing Address - Phone:330-993-7440
Mailing Address - Fax:
Practice Address - Street 1:726 WOODGATE BLVD APT 204
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-2541
Practice Address - Country:US
Practice Address - Phone:330-993-7440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker