MEDICARE: MS. PATTY J HOPKINS FNP

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	4704150527	MI

General Provider Information

NPI Number	:	1982667267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATTY J HOPKINS FNP

Provider Business Mailing Address
First Line	:	PO BOX 246
Second Line	:
City	:	GRASS LAKE
State	:	MI
Zip	:	49240-0246
Country	:	US
Telephone Number	:	517-522-8403
Fax Number	:	517-522-4275

Provider Business Practice Location Address
First Line	:	12337 E MICHIGAN AVE
Second Line	:
City	:	GRASS LAKE
State	:	MI
Zip	:	49240-9213
Country	:	US
Telephone Number	:	517-522-8403
Fax Number	:	517-522-4275

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

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	01/20/2021

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