Provider Demographics
NPI:1548651193
Name:HOBBS, JENNIFER (MS, RD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HOBBS
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 SUNNYFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-2711
Mailing Address - Country:US
Mailing Address - Phone:209-631-7236
Mailing Address - Fax:209-722-5408
Practice Address - Street 1:3327 M ST
Practice Address - Street 2:SUITE A
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2705
Practice Address - Country:US
Practice Address - Phone:209-631-7236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-17
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA810895133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered