Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Rae Forristal

Individual provider Advanced Practice Midwife · NPI 1861531360

Amanda Rae Forristal is an Advanced Practice Midwife in Fort Campbell, Kentucky. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 — (912) 435-6331

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 4704243857 (MI)

Record details

NPI number1861531360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2007
Last updated in NPPESDecember 11, 2018

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