Basic Information
| Provider Information | |||||||||
| NPI: | 1275866980 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOBSON | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | NICOLE | ||||||||
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| Credential: | APRN-CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3112 COOKE WAY | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731792401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4055464130 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 809 N FINDLAY AVE | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | NORMAN | ||||||||
| State: | OK | ||||||||
| PostalCode: | 730716412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4053104300 | ||||||||
| FaxNumber: | 4053104311 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2009 | ||||||||
| LastUpdateDate: | 11/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0083225 | OK | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.