Provider Demographics
NPI:1770136509
Name:HOPPING, DONNA JEANNE (LPN)
Entity type:Individual
Prefix:MISS
First Name:DONNA
Middle Name:JEANNE
Last Name:HOPPING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 WILLIAM ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MECHANICVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12118-1631
Mailing Address - Country:US
Mailing Address - Phone:518-603-6418
Mailing Address - Fax:
Practice Address - Street 1:39 WILLIAM ST APT 1
Practice Address - Street 2:
Practice Address - City:MECHANICVILLE
Practice Address - State:NY
Practice Address - Zip Code:12118-1631
Practice Address - Country:US
Practice Address - Phone:518-603-6418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-21
Last Update Date:2019-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY328159164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse