Provider Demographics
NPI:1770891343
Name:FORBES, EMILY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:FORBES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5899
Mailing Address - Country:US
Mailing Address - Phone:682-622-7503
Mailing Address - Fax:682-622-7525
Practice Address - Street 1:350 MATLOCK RD STE 201
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6889
Practice Address - Country:US
Practice Address - Phone:817-539-9091
Practice Address - Fax:817-539-9553
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169022363LF0000X
TXAP125814363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVV2264AMedicare PIN