Healthcare Provider Details

I. General information

NPI: 1124656699
Provider Name (Legal Business Name): HOPE BALLARD HOPKINS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOPE HOPKINS FNP-C

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

944 HARDEN ST
COLUMBIA SC
29205-1082
US

IV. Provider business mailing address

1107 STATE ST
CAYCE SC
29033-4342
US

V. Phone/Fax

Practice location:
  • Phone: 864-686-7955
  • Fax: 864-686-7986
Mailing address:
  • Phone: 803-729-3690
  • Fax: 803-766-2445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23777
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: