MEDICARE: KAREN ELAINE HOBBS

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	363LF0000X	Family Nurse Practitioner	31324	TN
2	363LP2300X	Primary Care Nurse Practitioner	31324	TN
3	363LA2100X	Acute Care Nurse Practitioner	31324	TN

General Provider Information

NPI Number	:	1609522804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ELAINE HOBBS

Provider Business Mailing Address
First Line	:	3598 BLUE SPRINGS RD
Second Line	:
City	:	NEW MARKET
State	:	TN
Zip	:	37820-4458
Country	:	US
Telephone Number	:	865-255-3705
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 HOSPITAL DR
Second Line	:
City	:	JEFFERSON CITY
State	:	TN
Zip	:	37760-5282
Country	:	US
Telephone Number	:	865-471-2500
Fax Number	:

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

Provider Enumeration Date	:	02/25/2022
Last Update Date	:	08/14/2022

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