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NPI Code Detail

MEDICARE: LELA MAE HOPSON FNP-BC

MEDICARE: LELA MAE HOPSON FNP-BC
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
1363LF0000XFamily Nurse Practitioner5004273NC

General Provider Information

NPI Number : 1700022449
Entity Type Code : Individual
Provider Name (Legal Business Name) : LELA MAE HOPSON FNP-BC
Provider Business Mailing Address
First Line : 310 PETE JONES DR
Second Line :
City : RICHLANDS
State : NC
Zip : 28574-8180
Country : US
Telephone Number : 910-324-7268
Fax Number : 910-324-7273
Provider Business Practice Location Address
First Line : 461 WESTERN BLVD STE 122
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7637
Country : US
Telephone Number : 248-660-1220
Fax Number : 248-282-5044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2008
Last Update Date : 02/28/2023

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Directions to “ LELA MAE HOPSON FNP-BC” Practice Location

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