Individual provider · Type 1 NPI

Larry M. Fountain, RN

Registered Nurse · Dublin, GA

NPI number 1154586568 Active

Practice location

2121A Bellevue Rd
Dublin, GA 31021-2998

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN063292 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1154586568

Larry M. Fountain, RN's National Provider Identifier is 1154586568, issued on Jul 24, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Dublin, GA. The record was last updated on Jul 24, 2008.