Healthcare Provider Details
I. General information
NPI: 1871478834
Provider Name (Legal Business Name): BRITANY RACHELLE HOPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/08/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1308 N GLENSTONE AVE
SPRINGFIELD MO
65802-2130
US
IV. Provider business mailing address
968 ELLIOT RD
NIXA MO
65714-7348
US
V. Phone/Fax
- Phone: 417-832-1117
- Fax:
- Phone: 417-259-9966
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | 2025035767 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 2021021237 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: