MRS. JULIANNE KAY FOUNTAIN


Address: 6068 S Apopka Vineland Rd Ste 3, Orlando, FL 32819-4449
Phone: 4079039696

MRS. JULIANNE KAY FOUNTAIN (NPI# 1629691225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629691225
Entity Type Individual
Full Name MRS. JULIANNE KAY FOUNTAIN
Credential ARNP, PMHNP
Practice Address 6068 S Apopka Vineland Rd Ste 3
Orlando
FL 32819-4449
Mailing Address 3825 Forsythe Way
Tallahassee
FL 32309-2555
Practice Telephone 4079039696
Mailing Telephone 8505669190
Enumeration Date 2020-05-19
Last Update Date 2020-05-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN9284486 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6068 S APOPKA VINELAND RD STE 3
City ORLANDO
State FL
Zip Code 32819-4449

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1114487089 Ruben Aquino Tobillo Jr. Nurse Practitioner 2743 Northampton Ave, Orlando, FL 32828-7910 2019-03-25
1700344686 Orville Vincent Murray Jr. Nurse Practitioner 11576 Petite Promenade Lane, Orlando, FL 32832-5138 2019-03-09
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1487002978 Willem Limage Nurse Practitioner 5838 Manchester Bridge Dr, Orlando, FL 32829-8830 2016-05-25
1003298035 Natacha Smith Nurse Practitioner 2423 W Sand Lake, Orlando, FL 32809-4094 2015-06-26
1770976698 Growing Mind Health and Wellness Nurse Practitioner 9340 Mustard Leaf Dr, Orlando, FL 32827-7082 2015-03-17
1073744470 A New Path In Christian Counseling, Inc. Nurse Practitioner 5575 S Semoran Blvd Ste 509, Orlando, FL 32822-1733 2009-08-03
1174639066 William Howard Fite Nurse Practitioner 2508 Marzel Ave, Orlando, FL 32806-5705 2006-08-22
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Competitor

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City ORLANDO
Zip Code 32819

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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