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Individual

MR. ANDREW FORBES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, MED

Contact information

Practice address
1314 POPLAR BLVD, JACKSON, MS 39202-2111
(601) 454-1914
Mailing address
1314 POPLAR BLVD, JACKSON, MS 39202-2111
(601) 454-1914

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
876049
MS
163WI0500X
Infusion Therapy Registered Nurse
Primary
876049
MS
163WP0200X
Pediatric Registered Nurse
876049
MS
163WP0218X
Pediatric Oncology Registered Nurse
876049
MS

Other

Enumeration date
01/24/2021
Last updated
02/01/2021
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