Jenise Ervin, FNP – Family Nurse Practitioner

Key facts

NPI: 1457418329
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 71001534A (IN)
Practice address: 142 Indian Springs Dr
Sandwich, IL 60548-1902
Phone: (800) 971-8293
NPI assigned: Jan 2, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hopkins Nursing Consultants, LLC Home Health Agency · Park Forest, IL · NPI 1013105659

NPD (past) Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
71001534A	IN	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Hopkins Nursing Consultants, LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	71001534A	IN	Yes

Addresses

Primary practice location

142 Indian Springs Dr
Sandwich, IL 60548-1902

Mailing address

514 Illinois St
Park Forest, IL 60466-1076
Phone (708) 481-8179

Other names

Jenise Hopkins Former name

Other providers in Sandwich, IL

All providers in Sandwich, IL · Family Nurse Practitioner in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.