Individual
MS. JACQUELINE HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
(423) 787-8713
Mailing address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3013231
—
TN
Enumeration date
08/08/2007
Last updated
08/08/2007
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