person
Ms. Pamela Kinder Fountain, MSN,RNC,APRN-BC
Psychiatric/Mental Health Registered Nurse in Fort Wayne, Indiana
NPI 1194955757

Pamela Kinder Fountain is a Psychiatric/Mental Health Registered Nurse based in Fort Wayne, IN and is specialized in Psychiatric/Mental Health. Pamela Kinder Fountain practices in Fort Wayne, IN and has the professional credentials of MSN,RNC,APRN-BC. The NPI Number for Pamela Kinder Fountain is 1194955757 and holds a License No. #71001329A (Indiana).

The current practice location address for Pamela Kinder Fountain is 7950 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-434-7088 and via fax at 260-435-7394. You can also correspond with Pamela Kinder Fountain through the mailing address at 7916 W JEFFERSON BLVD, FORT WAYNE, IN - 46804-4140 (mailing address contact number: 260-434-6377).

Location: 7950 W Jefferson Blvd, Fort Wayne, IN, 46804-4140
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Provider Profile Details
NPI Number
1194955757
Provider Name
Pamela Kinder Fountain
Credential
MSN,RNC,APRN-BC
Provider Entity Type
Individual
Gender
Female
Address
7950 W Jefferson Blvd, Fort Wayne, IN, 46804-4140
Phone Number
260-434-7088
Fax Number
260-435-7394
Provider Enumeration Date
07/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201006320 05 IN
institution
Provider Business Practice Location Address Details
Address
7950 W Jefferson Blvd
City
State
Zip
46804-4140
Phone Number
260-434-7088
Fax Number
260-435-7394
person
Provider Business Mailing Address Details
Address
7916 W Jefferson Blvd
City
State
Zip
46804-4140
Phone Number
260-434-6377
Fax Number
260-434-6389
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
28108484A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
#71001329A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
#71001329A (Indiana)
Definition
Definition to come...
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