Healthcare Provider Details

I. General information

NPI: 1043604499
Provider Name (Legal Business Name): BRITTANY MICHAL HOPKINS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. BRITTANY MICHAL HURLEY

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TRILLIUM WAY BAPTIST HEALTH CANCER CENTER
CORBIN KY
40701-8727
US

IV. Provider business mailing address

PO BOX 1325
CORBIN KY
40702-1325
US

V. Phone/Fax

Practice location:
  • Phone: 606-523-1934
  • Fax: 606-523-1982
Mailing address:
  • Phone: 606-526-8131
  • Fax: 606-528-8661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1125050
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3009454
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: