Healthcare Provider Details

I. General information

NPI: 1114181955
Provider Name (Legal Business Name): NICOLE HOPPER APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6160 KEMPSVILLE CIR STE 325A
NORFOLK VA
23502-3933
US

IV. Provider business mailing address

125 BOWMAN DR
SUFFOLK VA
23434-2362
US

V. Phone/Fax

Practice location:
  • Phone: 757-354-2885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024194365
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: