Forristal, Jo Ann
Forristal, Jo Ann is an individual health care provider with primary practice located at 3735 Hway 95 , Bullhead City AZ 86442-8199. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Forristal, Jo Ann can be contacted via phone (928) 444-1444.Contact Information
Primary practice address
3735 Hway 95
Bullhead City AZ 86442-8199
Phone: (928) 444-1444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 098041 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP4497 | Arizona |
Profile Details
| NPI number | 1003854605 |
|---|---|
| LBN Legal business name | Forristal, Jo Ann |
| Credentials | RN, CFNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Nov 18th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003854605 | NPPES |
| Missouri | MEDICAID | 425769213 |
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