Individual
JILL FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
9107 OAK CHASE CT, FAIRFAX STATION, VA 22039-3333
(703) 690-8482
(701) 248-9320
Mailing address
PO BOX 828, OCCOQUAN, VA 22125-0828
(703) 690-8482
(701) 248-9320
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166639
VA
363LG0600X
Gerontology Nurse Practitioner
0024166639
VA
Other
Enumeration date
04/06/2006
Last updated
12/04/2019
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