1013851435 NPI number — JESSICA MANDY RACHEL FORBES

Table of content: JESSICA MANDY RACHEL FORBES (NPI 1013851435)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013851435 NPI number — JESSICA MANDY RACHEL FORBES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FORBES
Provider First Name:
JESSICA
Provider Middle Name:
MANDY RACHEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013851435
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/16/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UNC EMERGENCY MEDICINE
Provider Second Line Business Mailing Address:
170 MANNING DR
Provider Business Mailing Address City Name:
CHAPEL HILL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27599-7594
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-966-6442
Provider Business Mailing Address Fax Number:
919-966-3049

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNC EMERGENCY MEDICINE
Provider Second Line Business Practice Location Address:
170 MANNING DR
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-7594
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-6442
Provider Business Practice Location Address Fax Number:
919-966-3049
Provider Enumeration Date:
04/16/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)