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NPI Code Detail

MEDICARE: PAMELA HOPKINS AGNP

MEDICARE: PAMELA HOPKINS AGNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner4704220419MI

General Provider Information

NPI Number : 1558739375
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA HOPKINS AGNP
Provider Business Mailing Address
First Line : 4154 W VIENNA RD # 3
Second Line :
City : CLIO
State : MI
Zip : 48420-2809
Country : US
Telephone Number : 810-406-4246
Fax Number : 833-582-2257
Provider Business Practice Location Address
First Line : 4154 W VIENNA RD # 3
Second Line :
City : CLIO
State : MI
Zip : 48420-2809
Country : US
Telephone Number : 810-406-4246
Fax Number : 833-582-2257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2015
Last Update Date : 03/03/2026

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