Individual provider · Type 1 NPI
Angelique Thais Fontenette, MD
Emergency Medical Services (Emergency Medicine) Physician · Pine Bluff, AR
Practice location
Jefferson Regional Medical Center, 1600 West 40th
Pine Bluff, AR 71603
Mailing address
11810 Shady Ridge Dr
Little Rock, AR 72211-4589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | N8418 (AR) |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
About NPI 1376695098
Angelique Thais Fontenette, MD's National Provider Identifier is 1376695098, issued on Jan 16, 2007. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Pine Bluff, AR. The record was last updated on Jul 8, 2007.