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Provider Information for 1922572551


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JESSICA HOBART-COLLIS


Sex: Female

NPI: 1922572551
Last Updated: 2024-05-15
Certification Date: 2024-05-15

Details

NameValue
NPI1922572551
Enumeration Date2019-01-16
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4377 E COURT ST
IOWA CITY, IA 52245-9305
United States

Phone: | Fax:
 
Primary Practice Address 601 US 6 W
IOWA CITY, IA 52246
United States

Phone: 319-338-0581 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalIA095222