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NPI Code Detail

MEDICARE: STEPHANIE FORHAN APRN

MEDICARE:   STEPHANIE  FORHAN  APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11045264FL

General Provider Information

NPI Number : 1740128263
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE FORHAN APRN
Provider Business Mailing Address
First Line : 5978 POWERS AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5978 POWERS AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2210
Country : US
Telephone Number : 904-399-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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