Basic Information
| Provider Information | |||||||||
| NPI: | 1508054487 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOPSON | ||||||||
| FirstName: | REGINA | ||||||||
| MiddleName: | |||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 600 MAIN ST | ||||||||
| Address2: | SUITE V | ||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719134905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013218200 | ||||||||
| FaxNumber: | 5013218202 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 MAIN ST | ||||||||
| Address2: | SUITE V | ||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719134905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013218200 | ||||||||
| FaxNumber: | 5013218202 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2007 | ||||||||
| LastUpdateDate: | 10/04/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WA2000X | R32474 | AR | N | Nursing Service Providers | Registered Nurse | Administrator | 163WC0400X | R32474 | AR | N | Nursing Service Providers | Registered Nurse | Case Management | 163WC1500X | R32474 | AR | N | Nursing Service Providers | Registered Nurse | Community Health | 163WP0807X | R32474 | AR | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Child & Adolescent | 163WP0808X | R32474 | AR | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 163WP0809X | R32474 | AR | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult |
No ID Information.