Provider Demographics
NPI:1447502158
Name:HOPPER, DEBORAH (FNP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:HOPPER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:864 W CHURCH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LEXINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38351-1727
Mailing Address - Country:US
Mailing Address - Phone:731-249-9777
Mailing Address - Fax:731-249-5011
Practice Address - Street 1:864 W CHURCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:LEXINGTON
Practice Address - State:TN
Practice Address - Zip Code:38351-1727
Practice Address - Country:US
Practice Address - Phone:731-249-9777
Practice Address - Fax:731-249-5011
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17050363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily