Individual provider · Type 1 NPI

Pamela Kinder Fountain, MSN, RNC, APRN-BC

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1194955757 Active

Practice location

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Fax (260) 435-7394

Mailing address

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X#71001329A (IN)
Gerontology Nurse Practitioner 363LG0600X#71001329A (IN)
Psychiatric/Mental Health Registered Nurse 163WP0808X28108484A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1194955757

Pamela Kinder Fountain, MSN, RNC, APRN-BC's National Provider Identifier is 1194955757, issued on Jul 16, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 11, 2013.