Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER A FOUNTAIN, PA-C
ActiveJENNIFER A FOUNTAIN, PA-C is a Physician Assistant healthcare provider located in REDWAY, California. NPI 1427836576 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · REDWAY, CA
Registration Details
- NPI Number
- 1427836576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2023 (2.8996624119988 yrs)
- Last Updated
- Oct 8, 2024
- License
-
PA64783 (CA)
Practice Information
- Address
-
101 WEST COAST ROAD #BREDWAY, CA, 95560Browse CA providers · Browse ZIP 95560
- Phone
- 7079232783
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.