Healthcare Provider Details

I. General information

NPI: 1548651193
Provider Name (Legal Business Name): JENNIFER HOBBS M.S., R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 02/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3327 M ST SUITE A
MERCED CA
95348-2705
US

IV. Provider business mailing address

2929 SUNNYFIELD DR
MERCED CA
95340-2711
US

V. Phone/Fax

Practice location:
  • Phone: 209-631-7236
  • Fax:
Mailing address:
  • Phone: 209-631-7236
  • Fax: 209-722-5408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number810895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: