Individual
MS. JAMIE L FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 LERNA RD S, MATTOON, IL 61938-9388
(217) 258-5900
(217) 258-3686
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209007210
IL
Other
Enumeration date
01/08/2010
Last updated
08/07/2013
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