Jennifer A Fountain, PA-C | |
101 West Coast Road #b, Redway, CA 95560 | |
(707) 923-2783 | |
Not Available |
Full Name | Jennifer A Fountain |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 101 West Coast Road #b, Redway, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427836576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA64783 (California) | Primary |
Mailing Address | Practice Location Address |
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Jennifer A Fountain, PA-C 475 Melville Rd Apt 2, Garberville, CA 95542-3450 Ph: (207) 432-7353 | Jennifer A Fountain, PA-C 101 West Coast Road #b, Redway, CA 95560 Ph: (707) 923-2783 |
Morgan Danielle Hines, Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 West Coast Rd, B, Redway, CA 95560 Phone: 707-923-2783 | |
Tiffany Amber Nickens-gaither, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 West Coast Rd, #b, Redway, CA 95560 Phone: 707-923-2783 | |
Mrs. Mandi Lisette Battles, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 West Coast Road, Redway, CA 95560 Phone: 707-923-2783 Fax: 707-923-2543 |