Tytionna Latae Forrest
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Hoffman, NC
NPI 1538031547 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1538031547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 313737 (NC)
- Practice address
- 1573 McDonald Church Road
Hoffman, NC 28347 - Phone
- (984) 296-1894
- NPI assigned
- Sep 19, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313737 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 313737 | NC | Yes |
Addresses
Primary practice location
1573 McDonald Church Road
Hoffman, NC 28347
Mailing address
1911 Coliseum Dr
Fayetteville, NC 28306-3060
Phone (984) 296-1894
Other providers in Hoffman, NC
- Brian Michael Allen
- Todd C Briske
- William Russell Butler
- Cynthia Wells McLemore
- Rha Health Services NC, LLC
- James Luther Smalley IV
All providers in Hoffman, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.