Healthcare Provider Details

I. General information

NPI: 1568756237
Provider Name (Legal Business Name): COLLEEN WRIGHT HOPKINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COLLEEN WRIGHT NP

II. Dates (important events)

Enumeration Date: 05/31/2011
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 MATHESON WAY
JOHNS CREEK GA
30022-5514
US

IV. Provider business mailing address

1030 MATHESON WAY
JOHNS CREEK GA
30022-5514
US

V. Phone/Fax

Practice location:
  • Phone: 404-601-1276
  • Fax:
Mailing address:
  • Phone: 404-601-1276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20738
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number57901
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number159373
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number825513
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45695
License Number StateWY
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number990426
License Number StateCO
# 7
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number358619-4405
License Number StateUT
# 8
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number358619-3102
License Number StateUT
# 9
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number590969
License Number StateCA
# 10
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number205609
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: