Individual
JENNIFER LYNN FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1141 N ROAD ST, SUITE G, ELIZABETH CITY, NC 27909-3354
(252) 335-5424
(252) 335-1077
Mailing address
1141 N ROAD ST, SUITE G, ELIZABETH CITY, NC 27909-3354
(252) 335-5424
(252) 335-1077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001001368
NC
363A00000X
Physician Assistant
470
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009913146
—
AL
05
—
05309207
—
MS
05
—
292931700
—
FL
01
—
51544933
BCBS
AL
Enumeration date
10/11/2007
Last updated
08/29/2008
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