MEDICARE: JOBI GEORGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1014912	TX

General Provider Information

NPI Number	:	1174338735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOBI GEORGE

Provider Business Mailing Address
First Line	:	1071 CLAYTON LN APT 114
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-1043
Country	:	US
Telephone Number	:	945-250-5389
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 BEE CAVES RD STE 220
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-5590
Country	:	US
Telephone Number	:	855-204-2502
Fax Number	:	817-783-4672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2025
Last Update Date	:	03/24/2026

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Directions to “ JOBI GEORGE ” Practice Location

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