Forsythe, Jamie L

Forsythe, Jamie L is an individual health care provider with primary practice located at 200 Lerna Rd S , Mattoon IL 61938-9388. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Forsythe, Jamie L can be contacted via phone (217) 258-5900.

Contact Information

Primary practice address
200 Lerna Rd S Mattoon IL 61938-9388
Phone: (217) 258-5900
Fax: (217) 258-3686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209007210 Illinois

Profile Details

NPI number 1447580774
LBN Legal business name Forsythe, Jamie L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2010
Last updated Aug 7th, 2013 - about 13 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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