Provider Demographics
NPI:1508110818
Name:FORESTER, DEBBY
Entity Type:Individual
Prefix:
First Name:DEBBY
Middle Name:
Last Name:FORESTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEBBY
Other - Middle Name:
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1107 JEFFERSON TOWER
Mailing Address - Street 2:625 19TH STREET SOUTH
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-7410
Mailing Address - Country:US
Mailing Address - Phone:205-975-8615
Mailing Address - Fax:
Practice Address - Street 1:1107 JEFFERSON TOWER
Practice Address - Street 2:625 19TH STREET SOUTH
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-7410
Practice Address - Country:US
Practice Address - Phone:205-975-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-100435363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner