| NPI | 1225316383 |
|---|---|
| Former Name | JENNIFER NICOLE FORSYTHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G185624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 72019) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 116103) | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2025-10-07 |