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

Jill Forman, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1770746307

Jill Forman, RN is a Psychiatric/Mental Health Registered Nurse in Ventura, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

200 Hillmont Ave
Ventura, CA 93003-1647
Phone: (805) 652-5755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 388306 (CA)

Record details

NPI number1770746307
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 3, 2008
Last updated in NPPESJuly 3, 2008
Mailing addressPo Box 24249, Ventura, CA 93002-4249

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