Individual provider · Type 1 NPI

Jack Allen Lafountain, RN

Registered Nurse · Parker, AZ

NPI number 1710239181 Active

Practice location

12033 Agency Rd
Parker, AZ 85344-7718

Mailing address

PO Box 492
Tipton, OK 73570-0492

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X00580 (OK)

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 1710239181

Jack Allen Lafountain, RN's National Provider Identifier is 1710239181, issued on Oct 10, 2012. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Parker, AZ. The record was last updated on Oct 10, 2012.