Provider Demographics
NPI:1215495643
Name:HOPKINS, JESSICA BROOKE (LVN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:BROOKE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 COUNTY ROAD 1095
Mailing Address - Street 2:
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-6504
Mailing Address - Country:US
Mailing Address - Phone:936-332-5449
Mailing Address - Fax:
Practice Address - Street 1:150 COUNTY ROAD 1095
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-6504
Practice Address - Country:US
Practice Address - Phone:936-332-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX227348164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse