Individual
VANESSA JEAN HOPPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 695-3800
(312) 695-3644
Mailing address
PO BOX 100129, GAINESVILLE, FL 32610-0129
(352) 273-5501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007913
IL
363A00000X
Physician Assistant
Primary
PA9109788
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018941100
—
FL
Enumeration date
09/14/2016
Last updated
04/05/2021
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