Charlotte Forkum
Registered Nurse in Cookeville, TN. Individual provider (NPI-1).
NPI number1013045996
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013045996
- Entity type
- Individual (NPI-1)
- Name
- Charlotte Forkum
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 42380 | TN | Yes |
Practice location
200 W 10th StTn Dept Of Health
Cookeville, TN 38501-6077
Phone 931-528-7531 · Fax 931-520-0413
Mailing address
5500 Whittaker RdCookeville, TN 38506-7022
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 60 Registered Nurse providers in Cookeville · All 2,123 providers in Cookeville
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