Andrew Forbes, RN, MED

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

876049 Issued in MS

Practice address

1314 Poplar Blvd
Jackson, MS 39202-2111

Phone

(601) 454-1914

NPI assigned

Jan 24, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1710577671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 POPLAR BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022111",
            "telephone_number": "601-454-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 POPLAR BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022111",
            "telephone_number": "601-454-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "RN, MED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MS",
            "license": "876049",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MS",
            "license": "876049",
            "primary": false
        },
        {
            "code": "163WP0218X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatric Oncology",
            "state": "MS",
            "license": "876049",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "MS",
            "license": "876049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fondren Nightingales Senior Day Retreat Co
• John E Fontaine IV, PH.D.
• Molly Barron Fontenot
• Sarah Fontenot, PHARM.D.
• Kimberly C Fonville
• Michael Demon Forbes Sr.
• Robert Forbes, M.D.
• William Webb Forbes, RPH
• Adrian Ford
• Eden Ford, MSN, APRN, AGACNP-BC

• Infusion Therapy Registered Nurse in Jackson, MS
• Providers in Jackson, MS by specialty
• Infusion Therapy Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.