Provider Demographics
NPI:1124783154
Name:FORBES, JAYNE MELISSA (DACM, DIPL AC)
Entity type:Individual
Prefix:MRS
First Name:JAYNE
Middle Name:MELISSA
Last Name:FORBES
Suffix:
Gender:F
Credentials:DACM, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-2204
Mailing Address - Country:US
Mailing Address - Phone:973-349-0619
Mailing Address - Fax:
Practice Address - Street 1:70 PARK ST STE 101
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2960
Practice Address - Country:US
Practice Address - Phone:974-406-4790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-04
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00155100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist