Provider Demographics
NPI:1366517872
Name:HOPKINS, TERESA B (FNP)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:B
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:107 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE WACCAMAW
Mailing Address - State:NC
Mailing Address - Zip Code:28450-1909
Mailing Address - Country:US
Mailing Address - Phone:910-646-2107
Mailing Address - Fax:910-646-2252
Practice Address - Street 1:107 CHURCH ST
Practice Address - Street 2:
Practice Address - City:LAKE WACCAMAW
Practice Address - State:NC
Practice Address - Zip Code:28450-1909
Practice Address - Country:US
Practice Address - Phone:910-646-2107
Practice Address - Fax:910-646-2252
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201040363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCS63540Medicare UPIN