Forrester, Jake Wyatt

Forrester, Jake Wyatt is an individual health care provider with primary practice located at 649 9Th Ave Apt 2A , New York NY 10036-3645. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Forrester, Jake Wyatt can be contacted via phone (864) 386-3767.

Contact Information

Primary practice address
649 9Th Ave Apt 2A New York NY 10036-3645
Phone: (864) 386-3767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 743979-1 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 743979 New York

Profile Details

NPI number 1346809456
LBN Legal business name Forrester, Jake Wyatt
Credentials BSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2019
Last updated Sep 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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