MARK NOEL FORRETTE FNP NPI 1932180320

NPI Information

NPI: 1932180320
Provider Name: MARK NOEL FORRETTE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
200 MISSION BLVD
JACKSON, CA
ZIP 95642
Phone: (209) 223-7500
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Mark Noel Forrette, FNP is a family nurse practitioner in Jackson, CA. Mark Noel Forrette, FNP NPI is 1932180320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 MISSION BLVD
JACKSON, CA
ZIP 95642-564
Phone: (209) 223-7500

The enumeration date for this NPI number is 11/11/2005 and was last updated on 4/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	10805	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN296480	MEDICAID	CALIFORNIA
2	ZZZ03901Z	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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