IndividualActive
Jacob Forsythe, CNP
NPI 1487332375 · Acute Care Nurse Practitioner · Maple Grove, MN
Provider details
- NPI number
- 1487332375
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Male
- Sole proprietor
- No
- License
- 10145 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9645 Grove Cir N Ste 200
Maple Grove, MN 55369-2684
Phone: (763) 201-8191
Fax: (763) 201-8192
Approximate (ZIP-level) locationGet directions
Mailing address
9645 Grove Cir N Ste 200
Maple Grove, MN 55369-2684
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.