person
Mr. Shawn Lewis Fountain JR., FNP-C
Family Nurse Practitioner in Charlotte, North Carolina
NPI 1033995998

Shawn Lewis Fountain JR. is a Family Nurse Practitioner based in Charlotte, NC and is specialized in Family. Shawn Lewis Fountain JR. practices in Charlotte, NC and has the professional credentials of FNP-C. The NPI Number for Shawn Lewis Fountain JR. is 1033995998 and holds a License No. 5018771 (North Carolina).

The current practice location address for Shawn Lewis Fountain JR. is 1614 South Blvd, Charlotte, NC and can be reached out via phone at 704-338-1268.

Location: 1614 South Blvd, Charlotte, NC, 28203-4726
person
Provider Profile Details
NPI Number
1033995998
Provider Name
Shawn Lewis Fountain JR.
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1614 South Blvd, Charlotte, NC, 28203-4726
Phone Number
704-338-1268
Fax Number
Provider Enumeration Date
09/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1614 South Blvd
City
State
Zip
28203-4726
Phone Number
704-338-1268
Fax Number
person
Provider Business Mailing Address Details
Address
1614 South Blvd
City
State
Zip
28203-4726
Phone Number
704-338-1268
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5018771 (North Carolina)
Definition
Definition to come...
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