Healthcare Provider Details

I. General information

NPI: 1013087923
Provider Name (Legal Business Name): MS. CANDICE M HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 ANDREWS AVENUE
FORT RUCKER AL
36362
US

IV. Provider business mailing address

PO BOX 91
CHANCELLOR AL
36316-0091
US

V. Phone/Fax

Practice location:
  • Phone: 334-255-7649
  • Fax:
Mailing address:
  • Phone: 334-684-8801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-081144
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: