National Provider Identifier
Javauni Forrest, NP
Javauni Forrest, NP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (646) 853-5307.
Profile Overview
- NPI
- 1124701461
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- August 14, 2023
- Last Updated
- October 09, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (646) 853-5307
Mailing Address
- 154 Squareview Ln
- Rochester, NY 14626-1868
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1124701461
- Entity Type
- Individual
- Last Name
- Forrest
- First Name
- Javauni
- Credential
- NP
- Mailing Street Address
- 154 Squareview Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-1868
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (646) 853-5307
- Enumeration Date
- August 14, 2023
- Last Updated
- October 09, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- October 09, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)