Doctor Name: | JILL FORBES |
NPI Number: | 1235192865 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.N.P. |
License Number: | 0024166639 |
Business Practice Address: | 8988 Lorton Station Blvd 100 Lorton, VA - 220794756 |
Business Phone Number: | 7037802800 |
Business Fax Number: | 7037800461 |
Mailing Address: | 8988 Lorton Station Blvd, 100 LORTON |
State: | VA |
Postal Code: | 220794756 |
Phone Number: | 7037802800 |
Fax Number: | 7037800461 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 09/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 0024166639 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |