Healthcare Provider Details

I. General information

NPI: 1609522804
Provider Name (Legal Business Name): KAREN ELAINE HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2022
Last Update Date: 08/14/2022
Certification Date: 08/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HOSPITAL DR
JEFFERSON CITY TN
37760-5282
US

IV. Provider business mailing address

3598 BLUE SPRINGS RD
NEW MARKET TN
37820-4458
US

V. Phone/Fax

Practice location:
  • Phone: 865-471-2500
  • Fax:
Mailing address:
  • Phone: 865-255-3705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number31324
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number31324
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number31324
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: