Provider Demographics
NPI:1932450756
Name:HOBBS, TIFFANY ALLEN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:ALLEN
Last Name:HOBBS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 GEORGIA AVE STE 114
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-3402
Mailing Address - Country:US
Mailing Address - Phone:423-531-5555
Mailing Address - Fax:423-531-6565
Practice Address - Street 1:513 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3402
Practice Address - Country:US
Practice Address - Phone:423-531-5555
Practice Address - Fax:423-531-6565
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN150283163WH1000X
TN16840163WH1000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WH1000XNursing Service ProvidersRegistered NurseHospice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN003109552AMedicaid
TN441576Medicare PIN