Healthcare Provider Details

I. General information

NPI: 1497618235
Provider Name (Legal Business Name): ALICIA FORBUS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3316 US-280
ALEXANDER CITY AL
35010
US

IV. Provider business mailing address

9327 COOSA COUNTY ROAD 66
GOODWATER AL
35072-2806
US

V. Phone/Fax

Practice location:
  • Phone: 256-329-7100
  • Fax: 256-329-7100
Mailing address:
  • Phone: 256-404-8326
  • Fax: 256-404-8326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-131440
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: