Healthcare Provider Details

I. General information

NPI: 1518481050
Provider Name (Legal Business Name): JENNIFER MICHELLE HOBBS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 HOYT BROWNIE RD
CLANTON AL
35045-2214
US

IV. Provider business mailing address

206 HOYT BROWNIE RD
CLANTON AL
35045-2214
US

V. Phone/Fax

Practice location:
  • Phone: 251-363-9445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP001704
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-129750
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: