Provider Demographics
NPI:1710646674
Name:AS YOU ARE PLLC
Entity Type:Organization
Organization Name:AS YOU ARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:507-328-0634
Mailing Address - Street 1:1652 GREENVIEW DR SW STE 160
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-4326
Mailing Address - Country:US
Mailing Address - Phone:317-697-7059
Mailing Address - Fax:
Practice Address - Street 1:1652 GREENVIEW DR SW STE 160
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-4326
Practice Address - Country:US
Practice Address - Phone:317-697-7059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty