Search › Illinois › 363L00000X
Courtney Forman, PMHNP-BC, FNP-C, FPA
NPI 1376099127 · on the registry since 2016
Practice
- Address
- 2823 Glenwood Ave
Rockford, IL 61101 - Phone
- (815) 968-5342
- Fax
- (815) 968-4656
- Organisation at this address
- Glenwood Center Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Additional practice sites
- 13508 Julie Dr, Poplar Grove, IL
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- Psychiatric/Mental Health Nurse Practitioner
363LF0000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois