Healthcare Provider Details

I. General information

NPI: 1013416973
Provider Name (Legal Business Name): BRANDI HOBACK FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 MEDICAL CENTER DR STE 201
PADUCAH KY
42003-7907
US

IV. Provider business mailing address

6550 CAROTHERS PKWY STE 500
FRANKLIN TN
37067-6692
US

V. Phone/Fax

Practice location:
  • Phone: 513-216-1263
  • Fax:
Mailing address:
  • Phone: 615-312-7211
  • Fax: 615-932-8776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0037988
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3018092
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23916
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: