Provider Demographics
NPI:1942456595
Name:FORBES, CHRISTY LEANN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:LEANN
Last Name:FORBES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 HEALTH CARE DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62246-1155
Mailing Address - Country:US
Mailing Address - Phone:618-664-2531
Mailing Address - Fax:618-664-2553
Practice Address - Street 1:201 HEALTH CARE DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:IL
Practice Address - Zip Code:62246-1155
Practice Address - Country:US
Practice Address - Phone:618-664-2531
Practice Address - Fax:618-664-2553
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2021-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209005180363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL143875Medicare Oscar/Certification
IL285910Medicare Oscar/Certification