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Individual
MRS. JENNIFER MICHELLE HOPPER
Active
Individual
MRS. JENNIFER MICHELLE HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60314279
WA
363A00000X
Physician Assistant
Primary
PA68445
CA
363AS0400X
Surgical Physician Assistant
PA60314279
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107724
NCCPA CERTIFICATION IDENTIFICATION NUMBER
—
05
—
2022545
—
WA
Enumeration date
09/05/2012
Last updated
09/16/2026
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