JUDYLYN HOBSON


Address: Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546
Phone: 9109389833

JUDYLYN HOBSON (NPI# 1316578388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316578388
Entity Type Individual
Full Name JUDYLYN HOBSON
Credential APRN
Practice Address Pride In North Carolina, LLC
3886 Henderson Dr
Jacksonville
NC 28546
Mailing Address 3886 Henderson Dr
Jacksonville
NC 28546-5219
Practice Telephone 9109389833
Mailing Telephone 9109389833
Enumeration Date 2020-01-29
Last Update Date 2020-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
302869 NC Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
5012793 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address PRIDE IN NORTH CAROLINA, LLC
3886 HENDERSON DR
City JACKSONVILLE
State NC
Zip Code 28546

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NPI Name Taxonomy Address Enumeration
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1417519570 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 2019-06-28
1023500212 Josip Ninrodriguez Military Health Care Provider 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 2018-06-04
1639661192 Kenneth Lee Russell Military Health Care Provider 3d Marine Raider Battalion, Camp Lejeune, NC 28546 2018-05-31
1346730173 Coastal Foot Center, LLC Clinic/Center 29 Office Park Dr Ste B, Jacksonville, NC 28546 2018-05-17
1578080271 Walgreen Co Durable Medical Equipment & Medical Supplies 380 Western Blvd, Jacksonville, NC 28546 2017-08-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1902428568 Kimberly J Grant Nurse Practitioner 8680 Baymeadows Rd E Apt 1413, Jacksonville, FL 32256-4002 2020-05-17
1447710900 Shannska Atis Nurse Practitioner 580 W 8th St Fl II5, Jacksonville, FL 32209-6533 2019-03-21
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Competitor

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City JACKSONVILLE
Zip Code 28546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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