Healthcare Provider Details

I. General information

NPI: 1093112757
Provider Name (Legal Business Name): JENNIFER HOBBS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 03/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N FRANKLIN ST SUITE A
TAMPA FL
33602-5831
US

IV. Provider business mailing address

2125 WILD GRAPE PL
RIVERVIEW FL
33578-3660
US

V. Phone/Fax

Practice location:
  • Phone: 813-229-2225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9238378
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: