Provider Demographics
NPI:1356152227
Name:HOPSON, LATANYA LYNNE (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:LATANYA
Middle Name:LYNNE
Last Name:HOPSON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:LATANYA
Other - Middle Name:LYNNE
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:813 BUSHMILLS CT
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-1702
Mailing Address - Country:US
Mailing Address - Phone:512-461-4244
Mailing Address - Fax:
Practice Address - Street 1:813 BUSHMILLS CT
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-1702
Practice Address - Country:US
Practice Address - Phone:512-461-4244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX562722163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse