Provider Demographics
NPI:1376294959
Name:HOBBS, JILLIAN E
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:E
Last Name:HOBBS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25635 LINDENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-6192
Mailing Address - Country:US
Mailing Address - Phone:313-588-4990
Mailing Address - Fax:
Practice Address - Street 1:1545 WOODWARD AVE APT 711
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-2014
Practice Address - Country:US
Practice Address - Phone:313-588-4990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health