Healthcare Provider Details

I. General information

NPI: 1104759752
Provider Name (Legal Business Name): KRISTIN OLIVIA HOBBS MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 DOCTORS DR
DOTHAN AL
36301-2911
US

IV. Provider business mailing address

55 BECKETT LN
NEWTON AL
36352-6215
US

V. Phone/Fax

Practice location:
  • Phone: 334-793-5672
  • Fax: 334-794-0378
Mailing address:
  • Phone: 334-350-6209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-195040
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: