Basic Information
Provider Information
NPI: 1225326093
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOPKINS
FirstName: LAUREN
MiddleName: LEIGH
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5959 S SHERWOOD FOREST BLVD
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 708166038
CountryCode: US
TelephoneNumber: 2257655727
FaxNumber: 2257659196
Practice Location
Address1: 611 ALCORN DR
Address2:  
City: CORINTH
State: MS
PostalCode: 388349321
CountryCode: US
TelephoneNumber: 6622931779
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2011
LastUpdateDate: 05/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XAP09543LAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2200XAP09543LAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
363LG0600XAP09543LAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LF0000XR877495MSY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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