Provider Demographics
NPI:1285061465
Name:HOBBS, JILLIAN KATHLEEN (PA-C)
Entity type:Individual
Prefix:MS
First Name:JILLIAN
Middle Name:KATHLEEN
Last Name:HOBBS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 75868
Mailing Address - Street 2:ORTHOVIRGINIA
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275-5868
Mailing Address - Country:US
Mailing Address - Phone:703-383-6469
Mailing Address - Fax:703-385-1062
Practice Address - Street 1:1850 TOWN CENTER PKWY
Practice Address - Street 2:STE 400
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3219
Practice Address - Country:US
Practice Address - Phone:703-810-5202
Practice Address - Fax:703-810-5420
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2020-10-26
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Provider Licenses
StateLicense IDTaxonomies
VA0110-004394363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant