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
Mailing address300 East Hospital Road, Fort Gordon, GA 30905

Other providers in Fort Campbell