person
Mr. Madison Lee Fountain
School Nurse Practitioner in Trinity, North Carolina
NPI 1700590734

Madison Lee Fountain is a School Nurse Practitioner based in Trinity, NC and is specialized in School. Madison Lee Fountain practices in Trinity, NC. The NPI Number for Madison Lee Fountain is 1700590734 and holds a License No. 304292 (North Carolina).

The current practice location address for Madison Lee Fountain is 4406 Hopewell Church Rd, Trinity, NC and can be reached out via phone at 336-689-0669.

Location: 4406 Hopewell Church Rd, Trinity, NC, 27370-7348
person
Provider Profile Details
NPI Number
1700590734
Provider Name
Madison Lee Fountain
Credential
Provider Entity Type
Individual
Gender
Male
Address
4406 Hopewell Church Rd, Trinity, NC, 27370-7348
Phone Number
336-689-0669
Fax Number
Provider Enumeration Date
01/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4406 Hopewell Church Rd
City
State
Zip
27370-7348
Phone Number
336-689-0669
Fax Number
person
Provider Business Mailing Address Details
Address
4406 Hopewell Church Rd
City
State
Zip
27370-7348
Phone Number
336-689-0669
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
School
Taxonomy
License No.
304292 (North Carolina)
Definition
Definition to come...
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