Healthcare Provider Details
I. General information
NPI: 1689127425
Provider Name (Legal Business Name): JAMEY HOBBS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/28/2016
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3998 HIGHWAY 1 N
FORREST CITY AR
72335-7637
US
IV. Provider business mailing address
3998 HIGHWAY 1 N
FORREST CITY AR
72335-7637
US
V. Phone/Fax
- Phone: 870-633-1737
- Fax: 870-633-1738
- Phone: 870-633-1737
- Fax: 870-633-1738
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | R067037 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: