Individual provider · Type 1 NPI
Jennifer D. Forthman, PA
Medical Physician Assistant · Tehachapi, CA
NPI number
1205893666
Active
Practice location
105 W E St
Tehachapi, CA 93561-1607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 1523 (OK) |
| Medical Physician Assistant Primary | 363AM0700X | 22143 (CA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Tehachapi
About NPI 1205893666
Jennifer D. Forthman, PA's National Provider Identifier is 1205893666, issued on Apr 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tehachapi, CA. The record was last updated on Oct 4, 2012.