Forsythe, Jacob

Forsythe, Jacob is an individual health care provider with primary practice located at 9645 Grove Cir N Ste 200 , Maple Grove MN 55369-2684. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Forsythe, Jacob can be contacted via phone (763) 201-8191.

Contact Information

Primary practice address
9645 Grove Cir N Ste 200 Maple Grove MN 55369-2684
Phone: (763) 201-8191
Fax: (763) 201-8192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 10145 Minnesota

Profile Details

NPI number 1487332375
LBN Legal business name Forsythe, Jacob
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2023
Last updated Dec 1st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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