Provider Demographics
NPI:1942035472
Name:FORSDICK, MABEL BEARD
Entity type:Individual
Prefix:
First Name:MABEL
Middle Name:BEARD
Last Name:FORSDICK
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:UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
Mailing Address - Street 2:COLLEGE OF NURSING, 874 UNION AVENUE, RM 325
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38163
Mailing Address - Country:US
Mailing Address - Phone:901-448-6128
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
Practice Address - Street 2:COLLEGE OF NURSING, 874 UNION AVENUE, RM 325
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163
Practice Address - Country:US
Practice Address - Phone:901-659-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program