Individual provider · Type 1 NPI

Jamie L. Forsythe, NP

Pediatric Nurse Practitioner · Mattoon, IL

NPI number 1447580774 Active

Practice location

200 Lerna Rd S
Mattoon, IL 61938-9388

Fax (217) 258-3686

Mailing address

611 W Park St, Bwpc
Urbana, IL 61801-2500

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X209007210 (IL)
Pediatric Nurse Practitioner Primary 363LP0200X277003211 (IL)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1447580774

Jamie L. Forsythe, NP's National Provider Identifier is 1447580774, issued on Jan 8, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mattoon, IL. The record was last updated on Oct 8, 2026.