Forever Collection Wigs

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

FOREVER COLLECTION WIGS

Practice address

4431 Sparrow Hawk CT
Jacksonville, FL 32210-6153

Phone

(904) 881-5898

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Nakita Dupree

Title

Ceo

Phone

(904) 881-5898

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1871264762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 SPARROW HAWK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106153",
            "telephone_number": "904-881-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 SPARROW HAWK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106153",
            "telephone_number": "904-881-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER COLLECTION WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "NAKITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-881-5898"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9048815898",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "4431 Sparrow Hawk Ct",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322106153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jajuan Mondreese Fordham
• Kimberly Wais Fore, LCSW
• Koleton Michael Forehand, MD
• Kathrine Marie Foreman, R.D., LD/N
• Ashley Ann Foret, MD
• Anita Forgan, NP
• Andrew J Forgash, MD
• Forgotten Hope LLC
• Glenn William Forhan, DMD
• Stephanie Forhan, APRN

• Prosthetic/Orthotic Supplier in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.