MEDICARE: JENNIFER HOBBS M.S., R.D.

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
1	133V00000X	Registered Dietitian	810895	CA

General Provider Information

NPI Number	:	1548651193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER HOBBS M.S., R.D.

Provider Business Mailing Address
First Line	:	2929 SUNNYFIELD DR
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95340-2711
Country	:	US
Telephone Number	:	209-631-7236
Fax Number	:	209-722-5408

Provider Business Practice Location Address
First Line	:	3327 M ST
Second Line	:	SUITE A
City	:	MERCED
State	:	CA
Zip	:	95348-2705
Country	:	US
Telephone Number	:	209-631-7236
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2015
Last Update Date	:	02/17/2015

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