JESSICA LOUCAS FONTAINE


Address: 400 Ne 4th St, Fort Lauderdale, FL 33301-1152
Phone: 9547654194

JESSICA LOUCAS FONTAINE (NPI# 1992933469) 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) 1992933469
Entity Type Individual
Full Name JESSICA LOUCAS FONTAINE
Credential ARNP
Practice Address 400 Ne 4th St
Fort Lauderdale
FL 33301-1152
Practice Telephone 9547654194
Mailing Telephone 9547654194
Enumeration Date 2009-06-23
Last Update Date 2009-06-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
9205060 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA FONTAINE

NPI Name Taxonomy Address Enumeration
1407007792 Jessica Fontaine Behavioral Analyst 1317 Jamestown Rd, Suite 102-b, Williamsburg, VA 23185-3364 2008-10-05

Office Location

Street Address 400 NE 4TH ST
City FORT LAUDERDALE
State FL
Zip Code 33301-1152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700041779 Ana Maria Ferrer Counselor 400 Ne 4th St, Fort Lauderdale, FL 33301-1152 2008-07-18
1437660610 Sherry Lynn Britton-susino Registered Nurse 400 Ne 4th St, Fort Lauderdale, FL 33301-1152 2017-10-16
1912433798 Gisselle Andrea Winkler Nurse Practitioner 400 Ne 4th St, Fort Lauderdale, FL 33301-1152 2017-05-11
1538564000 Sheree Mundy Nurse Practitioner 400 Ne 4th St, Fort Lauderdale, FL 33301-1152 2014-10-27
1396043238 Jennifer Lynn Combs Nurse Practitioner 400 Ne 4th St, Fort Lauderdale, FL 33301-1152 2011-03-01

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1093263956 Lindsay Elizabeth Halas Speech-Language Pathologist 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 2016-09-20
1568842433 Elaina Williams Behavioral Analyst 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 2015-06-04
1598144057 Cynthia I Pepper Occupational Therapist 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 2015-05-29
1972900629 Marquita Rucker Counselor 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 2014-11-24
1932502879 Martha Bouza Obstetrics & Gynecology 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 2014-10-07
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164996823 Gemina Rameau Nurse Practitioner 1607 Nw 12th Ct, Fort Lauderdale, FL 33311-5823 2019-01-16
1740826767 Trina Kluck Nurse Practitioner 789 S Federal Hwy, Fort Lauderdale, FL 33316-1245 2019-11-25
1538564000 Sheree Mundy Nurse Practitioner 400 Ne 4th St, Fort Lauderdale, FL 33301-1152 2014-10-27
1912271768 Frances Sholer Clark Howard Nurse Practitioner 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 2012-02-25
1396043238 Jennifer Lynn Combs Nurse Practitioner 400 Ne 4th St, Fort Lauderdale, FL 33301-1152 2011-03-01
1417183195 Katherine Reyes Prendes Nurse Practitioner 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 2009-06-08
1205883709 Elizabeth Grace Lipman Diaz Nurse Practitioner 1625 Se 3rd Ave, Suite 601, Fort Lauderdale, FL 33316-2521 2006-05-28
1295792976 Hanna Major Wilson Nurse Practitioner 1401 S Federal Hwy, Fort Lauderdale, FL 33316 2006-04-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1730789322 Michelle Yen-vera Nurse Practitioner 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 2020-11-01
1376143487 Aimee N Jorgenson Stough Nurse Practitioner 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 2020-10-28
1588271233 Olivia Janelle De Jong Nurse Practitioner 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 2020-09-28
1801407796 Elisabeth Morley Chinlund Nurse Practitioner 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 2020-08-13
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1427687565 Cortney M Starr Nurse Practitioner 2261 Kingfisher Ln, Clearwater, FL 33762-3323 2020-04-01
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Competitor

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City FORT LAUDERDALE
Zip Code 33301

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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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