MEDICARE: JANE FORBES

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	207Q00000X	Family Medicine Physician	0101274622	VA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207Q00000X	Family Medicine Physician	73749	AZ

General Provider Information

NPI Number	:	1598226417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE FORBES

Provider Business Mailing Address
First Line	:	3104 E CAMELBACK RD UNIT 7947
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4502
Country	:	US
Telephone Number	:	602-688-4874
Fax Number	:	602-883-8375

Provider Business Practice Location Address
First Line	:	2441 E WHITTON AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-7419
Country	:	US
Telephone Number	:	602-688-4874
Fax Number	:	602-883-8375

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

Provider Enumeration Date	:	03/26/2019
Last Update Date	:	08/11/2025

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Directions to “ JANE FORBES ” Practice Location

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