Individual
JENNY HYPPOLITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-4238
(252) 638-4023
(252) 633-2833
Mailing address
PO BOX 602522, CHARLOTTE, NC 28260-2522
(252) 633-1010
(252) 224-3071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2009-00116
NC
207R00000X
Internal Medicine Physician
229513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026311602
UNIVERA #
NY
01
—
000528062002
HEALTH NOW BCBS #
NY
01
—
0145199
GHI PPO #
NY
01
—
0197357
IHA #
NY
01
—
040426035712
FIDELIS CARE #
NY
01
—
151T3
BCBSNC
NC
01
—
159911BJ
PREFERRED CARE #
NY
01
—
229513-7W
WORKERS COMP #
NY
05
—
5910994
—
NC
01
—
P00245255
MEDICARE RAILROAD #
NY
Enumeration date
04/28/2006
Last updated
03/23/2011
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