Provider Demographics
NPI:1114771664
Name:HOPPE, STEPHANIE ALYS (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ALYS
Last Name:HOPPE
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ALYS
Other - Last Name:STOFFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:101 CHAPMAN HILL RD
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29631-2194
Practice Address - Country:US
Practice Address - Phone:864-455-6900
Practice Address - Fax:864-455-6469
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28284207RC0001X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology