Healthcare Provider Details

I. General information

NPI: 1891534095
Provider Name (Legal Business Name): KIMBERLY HOLLIDAY HOPKINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 OLD NORTH RD
CAMDEN DE
19934-1241
US

IV. Provider business mailing address

8946 OCKELS DR
SEAFORD DE
19973-8592
US

V. Phone/Fax

Practice location:
  • Phone: 302-697-4054
  • Fax:
Mailing address:
  • Phone: 302-604-8362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0011134
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberL1-0034522
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: