JESSICA LOUCAS FONTAINE CPNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1992933469- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP
- Status
- Active
Contact & Location
- Address
- 3795 MANSELL RD, ALPHARETTA, GA, 300228247
- Phone
- (404) 785-8540
- Fax
- (404) 785-8574
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: GA #RN280517