Healthcare Provider Details

I. General information

NPI: 1740501162
Provider Name (Legal Business Name): JACQUELINE L HOBBS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JACQUELINE L WELLS M.D.

II. Dates (important events)

Enumeration Date: 06/21/2010
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N COLUMBIA AVE
SEWARD NE
68434-2248
US

IV. Provider business mailing address

250 N COLUMBIA AVE
SEWARD NE
68434-2248
US

V. Phone/Fax

Practice location:
  • Phone: 402-643-4800
  • Fax: 402-646-4635
Mailing address:
  • Phone: 402-643-4800
  • Fax: 402-646-4635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number27545
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: