Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Wendi Lee Ann Nopper, NP-C

Individual provider Family Nurse Practitioner · NPI 1124323175

Mrs. Wendi Lee Ann Nopper, NP-C is a Nurse Practitioner in Jackson, Mississippi. Graduated from University of South Alabama College of Medicine in 2010, 16 years ago. Practices with Revitalize Hydration Therapy LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
16
Trained at
University of South Alabama College of Medicine
Licensed in
MS
In the registry since
2011
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-2915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R864347 (MS)

Record details

NPI number1124323175
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2011
Last updated in NPPESJune 14, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Revitalize Hydration Therapy Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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