Provider Demographics
NPI:1184184491
Name:HOBBS, STACY ALLISON (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:ALLISON
Last Name:HOBBS
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4413 71ST ST STE G101
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2319
Mailing Address - Country:US
Mailing Address - Phone:254-495-2139
Mailing Address - Fax:
Practice Address - Street 1:700 N ROBINSON DR
Practice Address - Street 2:
Practice Address - City:ROBINSON
Practice Address - State:TX
Practice Address - Zip Code:76706-5050
Practice Address - Country:US
Practice Address - Phone:254-495-2139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX297382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry