Individual provider · Type 1 NPI
Cynthia Ann Fountain, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Evans, GA
NPI number
1083597876
Active
Practice location
909 Rollo Domino Cir
Evans, GA 30809-3485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN174712 (GA) |
| Health & Wellness Coach | 171400000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN174712 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083597876
Cynthia Ann Fountain, PMHNP-BC's National Provider Identifier is 1083597876, issued on Jul 29, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Evans, GA. The record was last updated on Jul 29, 2025.