MEDICARE: ASHLEE FORRESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	RN243017	GA

General Provider Information

NPI Number	:	1457848251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE FORRESTER

Provider Business Mailing Address
First Line	:	1830 MARIETTA RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-2733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 DOWNWOOD CIR NW STE 220
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-1611
Country	:	US
Telephone Number	:	470-312-3696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2018
Last Update Date	:	09/17/2018

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Directions to “ ASHLEE FORRESTER ” Practice Location

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