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NPI Code Detail

MEDICARE: JONNA HOBBS FNP

MEDICARE: JONNA HOBBS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner11793TN
2363LF0000XFamily Nurse Practitioner201392970NP-PPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427253111
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONNA HOBBS FNP
Provider Business Mailing Address
First Line : PO BOX 92900
Second Line :
City : PORTLAND
State : OR
Zip : 97292-0900
Country : US
Telephone Number : 503-668-8002
Fax Number :
Provider Business Practice Location Address
First Line : 17055 RUBEN LN
Second Line :
City : SANDY
State : OR
Zip : 97055-9276
Country : US
Telephone Number : 503-668-8002
Fax Number : 503-668-5246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2007
Last Update Date : 03/16/2017

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