Individual provider · Type 1 NPI
Javauni Forrest, NP
Psychiatric/Mental Health Nurse Practitioner · Rochester, NY
NPI number
1124701461
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
154 Squareview Ln
Rochester, NY 14626-1868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 405270 (NY) |
| Registered Nurse | 163W00000X | 754334 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124701461
Javauni Forrest, NP's National Provider Identifier is 1124701461, issued on Aug 14, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rochester, NY. The record was last updated on Oct 9, 2023.