MEDICARE: CYNTHIA SUE HOPPER ARNP

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
1	363LF0000X	Family Nurse Practitioner	39674	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750629804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA SUE HOPPER ARNP

Provider Business Mailing Address
First Line	:	645 PAUL HUFF PKWY NW STE 105
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3150
Country	:	US
Telephone Number	:	423-790-7750
Fax Number	:	423-790-7659

Provider Business Practice Location Address
First Line	:	645 PAUL HUFF PKWY NW STE 105
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3150
Country	:	US
Telephone Number	:	423-790-7750
Fax Number	:	423-790-7659

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2013
Last Update Date	:	01/12/2026

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