Individual provider · Type 1 NPI

Tiffany Fountain, LVN

Licensed Vocational Nurse · Oakland, CA

NPI number 1003761982 Active

Practice location

5432 Lawton Ave
Oakland, CA 94618-1110

Call (510) 640-3914 Map

Mailing address

268 Lewelling Blvd
Ashland, CA 94580-1632

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	756820 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1003761982

Tiffany Fountain, LVN's National Provider Identifier is 1003761982, issued on Mar 4, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Oakland, CA. The record was last updated on Mar 4, 2026.