Provider Demographics
NPI:1588933667
Name:FORBES, JOYCELYN (RD)
Entity type:Individual
Prefix:MRS
First Name:JOYCELYN
Middle Name:
Last Name:FORBES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 TUTU PARK MALL STE 207
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-1736
Mailing Address - Country:US
Mailing Address - Phone:340-775-3700
Mailing Address - Fax:340-777-7927
Practice Address - Street 1:4605 TUTU PARK MALL STE 207
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-1736
Practice Address - Country:US
Practice Address - Phone:340-775-3700
Practice Address - Fax:340-777-7927
Is Sole Proprietor?:No
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILRD449875133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered