Provider Demographics
NPI:1659461655
Name:HOPKINS, JE'VONNA (DC)
Entity type:Individual
Prefix:DR
First Name:JE'VONNA
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-3609
Mailing Address - Country:US
Mailing Address - Phone:908-289-5336
Mailing Address - Fax:908-289-8588
Practice Address - Street 1:426 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3609
Practice Address - Country:US
Practice Address - Phone:908-289-5336
Practice Address - Fax:908-289-8588
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00609400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor