Healthcare Provider Details

I. General information

NPI: 1285062810
Provider Name (Legal Business Name): AMANDA MARIE HOPKINS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2013
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 DR CALVIN JONES HWY STE 212
WAKE FOREST NC
27587-3108
US

IV. Provider business mailing address

620 DR CALVIN JONES HWY STE 212
WAKE FOREST NC
27587-3108
US

V. Phone/Fax

Practice location:
  • Phone: 919-761-5678
  • Fax: 919-761-5680
Mailing address:
  • Phone: 919-761-5678
  • Fax: 919-761-5680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberA0613051
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5007998
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: