Taylor Nichole Forquer, FNP-C

Individual provider Active NPI Primary Care Nurse Practitioner · Rockville, IN

NPI 1679494140 · NPPES record last updated Jul 22, 2026

Key facts

NPI
1679494140
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
71018347A (IN)
Practice address
811 50 N
Rockville, IN 47872
Phone
(765) 569-3178
NPI assigned
Jul 22, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 71018347A IN Yes

Addresses

Primary practice location

811 50 N
Rockville, IN 47872

Mailing address

1023 W Deer Creek Dr
Brazil, IN 47834-7919

Other providers in Rockville, IN

All providers in Rockville, IN · Primary Care Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.