Provider Demographics
NPI:1346098902
Name:HOBSON, JESSICA ANNE (RN/CHHP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANNE
Last Name:HOBSON
Suffix:
Gender:F
Credentials:RN/CHHP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:HOBSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN/CHHP
Mailing Address - Street 1:330 N WILLOW
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:OK
Mailing Address - Zip Code:74872-4420
Mailing Address - Country:US
Mailing Address - Phone:405-207-6602
Mailing Address - Fax:
Practice Address - Street 1:330 N WILLOW
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:OK
Practice Address - Zip Code:74872-4420
Practice Address - Country:US
Practice Address - Phone:405-207-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK099440163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency