Provider Demographics
NPI:1932902574
Name:FORBES, JATHNIEL KANISHA
Entity type:Individual
Prefix:
First Name:JATHNIEL
Middle Name:KANISHA
Last Name:FORBES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 N PINE ISLAND RD APT 303
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1351
Mailing Address - Country:US
Mailing Address - Phone:786-862-1997
Mailing Address - Fax:
Practice Address - Street 1:741 N PINE ISLAND RD APT 303
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1351
Practice Address - Country:US
Practice Address - Phone:786-862-1997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula