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General NPI Number Information
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NPI Number | 1821680166
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Entity Type | Individual
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Provider Name | JORDAN CHRISTINE FORBUSH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 916 KOALA DR
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City | OMAK
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State | WA
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Zip | 98841-9759
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Country | US
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Telephone | 509-663-8711
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Fax |
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Provider Business Mailing Address
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Address Line | 820 N CHELAN AVE
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City | WENATCHEE
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State | WA
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Zip | 98801-2028
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Country | US
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Telephone | 509-663-8711
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61391327
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 66742
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 14191887-4405
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License Number State | UT
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