Provider Demographics
NPI:1346735735
Name:HOBSON, HALEY BETH (PA-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:BETH
Last Name:HOBSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4196 HIGHWAY 62 412
Mailing Address - Street 2:STE A
Mailing Address - City:HARDY
Mailing Address - State:AR
Mailing Address - Zip Code:72542-8002
Mailing Address - Country:US
Mailing Address - Phone:870-856-1202
Mailing Address - Fax:870-856-2107
Practice Address - Street 1:1308 E PAGE AVE
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:AR
Practice Address - Zip Code:72104-4518
Practice Address - Country:US
Practice Address - Phone:501-337-9820
Practice Address - Fax:870-895-2164
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55551363A00000X
ARPA-906363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant