Healthcare Provider Details

I. General information

NPI: 1033095179
Provider Name (Legal Business Name): JESSICA ANN FORBES DNP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 LEXINGTON CIR
GRAND ISLAND NE
68803-9728
US

IV. Provider business mailing address

1103 ZURICH ST
PALMER NE
68864-1401
US

V. Phone/Fax

Practice location:
  • Phone: 308-675-3222
  • Fax:
Mailing address:
  • Phone: 308-571-0586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116286
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: